Individual
MRS. DIANA UHLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC, SLP
Contact information
Practice address
6145 SPRING LAKE HWY, BROOKSVILLE, FL 34601-7911
(352) 544-0437
Mailing address
6145 SPRING LAKE HWY, BROOKSVILLE, FL 34601-7911
(352) 544-0437
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA3052
FL
235Z00000X
Speech-Language Pathologist
Primary
SA3052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886010600
—
FL
Enumeration date
11/16/2006
Last updated
06/14/2011
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