Diane Sue Wolf, M.A.CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP6595 Issued in CA

Practice address

7732 E Santiago Canyon Rd
Orange, CA 92869-1829

Phone

(714) 771-5276

Fax

(714) 771-1452

NPI assigned

Jun 12, 2007

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

State licenses

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700080983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7732 E SANTIAGO CANYON RD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928691829",
            "telephone_number": "714-771-5276",
            "fax_number": "714-771-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7732 E SANTIAGO CANYON RD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928691829",
            "telephone_number": "714-771-5276",
            "fax_number": "714-771-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "DIANE",
        "middle_name": "SUE",
        "credential": "M.A.CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP6595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agatha Ann Wise
• Gloria Alicia Wise
• Matthew Jay Wise, M.D.
• Patrick Wise
• Jeanne Wojslaw
• Gregory H. Wolf, M.D.
• Ian Lawrence Wolf
• Faith Angelina Mar Wolfe
• Michelle Wolff, DPT
• Ram Wolman, MD

• Speech-Language Pathologist in Orange, CA
• Providers in Orange, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.