Diane R Crisman, M.A.T. C.C.C.-SP

NPI #1508955907 in Fremont, Indiana

Provider Information

NPI Number
1508955907
Entity Type
Individual
Name
Diane R Crisman, M.A.T. C.C.C.-SP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.A.T. C.C.C.-SP
Enumeration Date
Oct 12, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
401 SOUTH BROAD ST., SUITE A
State
Indiana
ZIP Code
46737-0774
Phone
(260) 495-9098

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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