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Individual

MS. DIANNE TART

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.S.,CCC-SLP

Contact information

Practice address
600 N MADISON AVE, GOLDSBORO, NC 27530-3143
(919) 739-0047
(919) 739-9041
Mailing address
PO BOX 362, PIKEVILLE, NC 27863-0362
(919) 739-0047
(919) 739-9041

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2446
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
136U9
BCBS INDIVIDUAL
NC
05
7412136
NC
Enumeration date
02/27/2006
Last updated
07/09/2007
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