Individual
DIANE ALTOMARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 E 2ND ST, MOUNT CARMEL, PA 17851-1435
(570) 339-3697
Mailing address
121 E 2ND ST, MOUNT CARMEL, PA 17851-1435
(570) 339-3697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL001812L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019278680003
—
PA
Enumeration date
03/22/2007
Last updated
03/14/2016
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