Dianne Alesna, SLPA

Individual provider Active NPI Speech-Language Assistant · Surprise, AZ

NPI 1194503607 · NPPES record last updated Sep 18, 2023

Key facts

NPI
1194503607
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
SLPA14394 (AZ)
Practice address
17161 W Bajada Rd
Surprise, AZ 85387-1091
Phone
(623) 556-5880
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SLPA14394AZMDSpeech-Language Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA14394 AZ Yes

Addresses

Primary practice location

17161 W Bajada Rd
Surprise, AZ 85387-1091

Mailing address

17180 W Sweetwater Ave Unit 1032
Surprise, AZ 85388-3402
Phone (267) 517-2276

Other providers in Surprise, AZ

All providers in Surprise, AZ · Speech-Language Assistant in Arizona

Sources for this page

Verify at the official NPI Registry.