Individual
DIANA JO WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
36000 DARNALL LOOP, FORT HOOD, TX 76544-5095
(254) 288-8000
Mailing address
36000 DARNALL LOOP, FORT HOOD, TX 76544-5095
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103258
TX
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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