Organization
DIANE CROUCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE MARIE CROUCH M.A. (SPEECH LANGUAGE PATHOLOGIST)
(712) 328-7274
Entity
Organization
Contact information
Practice address
1400 SUNBURY DR, BELLEVUE, NE 68005-2962
(402) 293-4845
Mailing address
3123 GOLD RUSH RD, COUNCIL BLUFFS, IA 51501-8562
(712) 328-7274
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
1579
NE
Other
Enumeration date
10/25/2013
Last updated
10/25/2013
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