Individual
DIVA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
15250 PRESTONWOOD BLVD, DALLAS, TX 75248-4791
(972) 388-1144
Mailing address
5415 CARRINGTON DR, RICHARDSON, TX 75082-2890
(214) 505-8030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
118480
TX
Other
Enumeration date
10/13/2022
Last updated
02/10/2023
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