Individual
KATHERINE DYAMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
20119 E RUSSET RD, QUEEN CREEK, AZ 85142-9836
(480) 734-5966
Mailing address
20119 E RUSSET RD, QUEEN CREEK, AZ 85142-9836
(480) 734-5966
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12836
AZ
235Z00000X
Speech-Language Pathologist
Primary
SLP17049
AZ
235Z00000X
Speech-Language Pathologist
Primary
TSLP15966
AZ
Other
Enumeration date
05/23/2021
Last updated
02/11/2026
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