Individual
MS. DIANNE BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
140 SOUTH GILBERT ROAD, GILBERT, AZ 85296
(480) 497-3300
(480) 497-3340
Mailing address
2291 WEST PARK AVE, CHANDLER, AZ 85224
(480) 664-8920
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL4307
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLPL4307
AZ DEPT OF HEALTH SERVICE
AZ
Enumeration date
01/16/2007
Last updated
07/08/2007
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