Diane Marie Brammer O'Connor, SLP
Individual provider Active NPI Speech-Language Pathologist · Altoona, IA
NPI 1265655690 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1265655690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 00734 (IA)
- Practice address
- 612 8TH St SW
Altoona, IA 50009-2301 - Phone
- (515) 967-4124
- Fax
- (515) 967-9094
- NPI assigned
- Apr 11, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00734 | IA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 00734 | IA | Yes |
Addresses
Primary practice location
612 8TH St SW
Altoona, IA 50009-2301
Mailing address
PO Box 461
Nevada, IA 50201-0461
Phone (515) 382-3366
Other providers in Altoona, IA
- Samantha Blaker
- Karli Blankenfeld
- Blue Ark Healthcare LLC
- Dru Victoria Boatner
- Hannah Rose Bock
- Jason Brown
- McKenna Paige Brown
- Nicole Brummel
- Mary Bucklin
- Elianeth Camacho
All providers in Altoona, IA · Speech-Language Pathologist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.