Individual
MS. DIANE MARIE VAN DAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
729 N HAZELTON DR, CHANDLER, AZ 85226-2250
(480) 726-0266
Mailing address
729 N HAZELTON DR, CHANDLER, AZ 85226-2250
(480) 726-0266
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0578
AZ
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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