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NPI Code Detail

MEDICARE: ERIN WHITWORTH DIENY M.S., CCC-SLP

MEDICARE: ERIN WHITWORTH DIENY M.S., CCC-SLP
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 PathologistSP21454CA

General Provider Information

NPI Number : 1346794302
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN WHITWORTH DIENY M.S., CCC-SLP
Provider Business Mailing Address
First Line : 38 MISSION CT
Second Line :
City : FOOTHILL RANCH
State : CA
Zip : 92610-2466
Country : US
Telephone Number : 626-533-5038
Fax Number :
Provider Business Practice Location Address
First Line : 30252 TOMAS
Second Line : SUITE 100
City : RANCHO SANTA MARGARITA
State : CA
Zip : 92688-2129
Country : US
Telephone Number : 949-459-1658
Fax Number : 949-459-1667
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2016
Last Update Date : 08/08/2016

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