Individual
STEVEN DINERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
519 E VIRGINIA PL, PRESCOTT, AZ 86301-3129
(928) 713-0018
Mailing address
1150 N COTTONWOOD SPRING DR, DEWEY, AZ 86327-5407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4657
AZ
Other
Enumeration date
02/07/2007
Last updated
12/18/2012
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