Individual
DIAN UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4004 MOULTON ST, GREENVILLE, TX 75401-5840
(903) 457-2500
Mailing address
PO BOX 1405, COMMERCE, TX 75429-1405
(903) 456-1363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18630
TX
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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