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NPI Code Detail

MEDICARE: MRS. DIANE SHER SPEECH PATHOLOGIST

MEDICARE: MRS. DIANE SHER SPEECH PATHOLOGIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP2774CA

General Provider Information

NPI Number : 1255690954
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANE SHER SPEECH PATHOLOGIST
Provider Business Mailing Address
First Line : 8011 BERGER PL
Second Line :
City : PLAYA DEL REY
State : CA
Zip : 90293-7974
Country : US
Telephone Number : 310-823-7316
Fax Number :
Provider Business Practice Location Address
First Line : 3521 LOMITA BLVD
Second Line : SUITE201
City : TORRANCE
State : CA
Zip : 90505-5039
Country : US
Telephone Number : 310-856-8528
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2012
Last Update Date : 05/15/2012

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Directions to “ MRS. DIANE SHER SPEECH PATHOLOGIST” Practice Location

Language Start Address Practice Location
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