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Individual

MS. AIMEE L DIEHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
4201 LAKE BOONE TRL, SUITE 4, RALEIGH, NC 27607-7512
(919) 781-5851
Mailing address
4225 LARCHMONT RD, APT. 637, DURHAM, NC 27707-5962
(413) 441-1042

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6421
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP0149
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/23/2007
Last updated
08/08/2007
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