Diane Muzio, M.S., CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146004792 Issued in IL

Practice address

625 Wham Drive Room 141
Siuc Clinical Center
Carbondale, IL 62901

Phone

(618) 453-2361

Fax

(618) 453-6130

NPI assigned

May 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Illinois University Carbondale Clinical Center

  • Psychologist
  • Carbondale, IL
  • NPI 1174919351

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1245619600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 WHAM DRIVE ROOM 141",
            "address_2": "SIUC CLINICAL CENTER",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62901",
            "telephone_number": "618-453-2361",
            "fax_number": "618-453-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 WHAM DRIVE ROOM 141",
            "address_2": "SIUC CLINICAL CENTER",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62901",
            "telephone_number": "618-453-2361",
            "fax_number": "618-453-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUZIO",
        "first_name": "DIANE",
        "credential": "M.S., CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146004792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay R Mueller, PTA
• Barenya Mukerji, M.D.
• Melany Mulligan
• Donald Mullison
• Mutaz Musa, M.D.
• Deshera Myers
• Wendy Thein Myint
• Myofascial Release of Southern Illinois
• Monica L Nagele, NP
• Kristen Nagreski

• Speech-Language Pathologist in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.