MEDICARE: DIANE ALISON DELANY

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
1	235Z00000X	Speech-Language Pathologist	SLP013875	GA

General Provider Information

NPI Number	:	1578426268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE ALISON DELANY

Provider Business Mailing Address
First Line	:	65 SPRUELL SPRINGS RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-2501
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 W WIEUCA RD NE STE A200
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-3383
Country	:	US
Telephone Number	:	404-808-5427
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ DIANE ALISON DELANY ” Practice Location

Language	Start Address	Practice Location

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