Diana Basile, M.A. CCC-SLP
NPI #1295382612 in Freehold, New Jersey
Provider Information
- NPI Number
- 1295382612
- Entity Type
- Individual
- Name
- Diana Basile, M.A. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A. CCC-SLP
- Enumeration Date
- Aug 20, 2019
- Last Updated
- Aug 20, 2019
Practice Location
- Address
- 71 W MAIN ST
- City
- Freehold
- State
- New Jersey
- ZIP Code
- 07728-2138
- Phone
- (732) 866-4305
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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