Active NPI
Carrie Diede Speech Language Services
- Speech-Language Pathologist
- Walla Walla, WA
National Provider Identifier
1730859448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- CARRIE DIEDE SPEECH LANGUAGE SERVICES
- Practice address
- 62 S Madison St
Walla Walla, WA 99362-2416 - Phone
- (646) 331-6616
- Fax
- (509) 260-2622
- NPI assigned
- Sep 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carrie S Diede, MS, CCC-SLP
- Title
- Owner/Therapist
- Phone
- (646) 331-6616
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary | ||
| Hearing and Speech Clinic/Center | 261QH0700X |
Addresses
Primary practice location
62 S Madison St
Walla Walla, WA 99362-2416
Mailing address
62 S Madison St
Walla Walla, WA 99362-2416
Phone (646) 331-6166
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634515200000",
"number": "1730859448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 S MADISON ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993622416",
"telephone_number": "646-331-6166",
"fax_number": "509-260-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 S MADISON ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993622416",
"telephone_number": "646-331-6616",
"fax_number": "509-260-2622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARRIE DIEDE SPEECH LANGUAGE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-14",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A",
"authorized_official_last_name": "DIEDE",
"authorized_official_first_name": "CARRIE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "646-331-6616",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.