Individual
MRS. DIANE M HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
705 26TH AVE NW, NORMAN, OK 73069-6367
(405) 308-9120
(405) 928-5530
Mailing address
2429 WESTPORT DR, NORMAN, OK 73069-6337
(405) 308-9120
(405) 928-5530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3846
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200429590A
—
OK
Enumeration date
05/17/2012
Last updated
10/21/2024
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