Ellen-Sue Diamant, SLP.D
Individual provider Active NPI Speech-Language Pathologist · Browning, MT
NPI 1427116276 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1427116276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 771 (MT)
- Practice address
- 615 S. Piegan
Browning, MT 59417 - Phone
- (406) 226-4224
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 771 | MT | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 771 | MT | Yes |
Addresses
Primary practice location
615 S. Piegan
Browning, MT 59417
Mailing address
PO Box 227
Mile 206 Hwy 2
East Glacier Park, MT 59434-0227
Phone (406) 226-4224
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0531349 | Medicaid | MT |
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All providers in Browning, MT · Speech-Language Pathologist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 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.