Diane Adams, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Greenville, NC

NPI 1710066899 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1710066899
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
754 (NC)
Practice address
Children'S Developmental Services Agency - Dept of Ped
Irons Building - Oglesby Dr.
Greenville, NC 27858
Phone
(252) 737-1177
NPI assigned
Nov 2, 2006
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
754NCMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 754 NC Yes

Addresses

Primary practice location

Children'S Developmental Services Agency - Dept of Ped
Irons Building - Oglesby Dr.
Greenville, NC 27858

Mailing address

PO Box 751069
Charlotte, NC 28275-1069
Phone (252) 744-3253

Other identifiers

IdentifierTypeStateIssuer
34572OtherNCBCBS NC

Other providers in Greenville, NC

All providers in Greenville, NC · Speech-Language Pathologist in North Carolina

Sources for this page

Verify at the official NPI Registry.