MEDICARE: DIANA YAZHBINA

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	SZ5619	FL

General Provider Information

NPI Number	:	1679719561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA YAZHBINA

Provider Business Mailing Address
First Line	:	1945 S OCEAN DR
Second Line	:	APT 306
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-6061
Country	:	US
Telephone Number	:	347-576-3166
Fax Number	:

Provider Business Practice Location Address
First Line	:	7451 WILES RD
Second Line	:	SUITE 203
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2040
Country	:	US
Telephone Number	:	347-576-3166
Fax Number	:

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

Provider Enumeration Date	:	12/23/2008
Last Update Date	:	10/04/2011

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Directions to “ DIANA YAZHBINA ” Practice Location

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