Individual
MRS. DIANE LYNETTE MERKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 W 11TH AVE STE A, POST FALLS, ID 83854-9255
(208) 981-1111
Mailing address
1669 OAK ST, OTSEGO, MI 49078-9318
(269) 355-8577
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0653496
MI
235Z00000X
Speech-Language Pathologist
LL61558792
WA
235Z00000X
Speech-Language Pathologist
Primary
SLP-6418
ID
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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