Individual provider Active NPI

Diane Webber, CCC-SLP

  • Speech-Language Pathologist
  • Dickson City, PA
National Provider Identifier
1194975391
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL002858L Issued in PA
Practice address
851 Commerce Blvd
Suite 107
Dickson City, PA 18519-1759
Phone
(570) 489-5561
Fax
(570) 489-5563
NPI assigned
Sep 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL002858L PA Primary

Addresses

Primary practice location

851 Commerce Blvd
Suite 107
Dickson City, PA 18519-1759

Mailing address

851 Commerce Blvd
Suite 107
Dickson City, PA 18519-1759
Phone (570) 489-5561

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SL002858LPAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1194975391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 COMMERCE BLVD",
            "address_2": "SUITE 107",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191759",
            "telephone_number": "570-489-5561",
            "fax_number": "570-489-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 COMMERCE BLVD",
            "address_2": "SUITE 107",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191759",
            "telephone_number": "570-489-5561",
            "fax_number": "570-489-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "DIANE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL002858L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.