Diane Fourdyce
NPI #1841217692 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1841217692
- Entity Type
- Individual
- Name
- Diane Fourdyce
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jul 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7316 JERUSALEM RD
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-6418
- Phone
- (618) 656-4133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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