Diane Louse Abrahamian
Individual provider Active NPI Speech-Language Pathologist · Pasadena, CA
NPI 1497052955 · NPPES record last updated Feb 18, 2011
Key facts
- NPI
- 1497052955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 18217 (CA)
- Practice address
- 200 E del Mar Blvd Ste 112
Pasadena, CA 91105-2552 - Phone
- (626) 564-2700
- Fax
- (626) 564-2770
- NPI assigned
- Feb 18, 2011
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 18217 | CA | Yes |
Addresses
Primary practice location
200 E del Mar Blvd Ste 112
Pasadena, CA 91105-2552
Mailing address
200 E del Mar Blvd Ste 112
Pasadena, CA 91105-2552
Phone (626) 564-2700
Other providers in Pasadena, CA
- Devan Jane Abhari
- Olivia Abler
- Lena Aboulhosn
- Ragie Aboulhosn
- Omar Abousaif
- George Kevork Abrahamian
- Romone Cornellius Abrams Jr.
- Alejandra Abrego
- Bella Abrego
- Jessica Nohely Abrego
All providers in Pasadena, CA · Speech-Language Pathologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2011. 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.