Female

Diana Basile M.A. CCC-SLP

Speech-Language Pathologist in Freehold, NJ(View on Map)

Full Name

Diana Basile M.A. CCC-SLP

NPI Number

1295382612

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/20/2019

Specialties

(Taxonomies)

Code

235Z00000X

Primary Taxonomy

Yes

Licenses

State

New Jersey

License Number

41YS00680300

Contact
Information

Purpose

Mailing
Location

Address

71 W MAIN ST
71 W MAIN ST

City

Freehold
Freehold

State

NJ
NJ

Postal Code

07728-2138
07728-2138

Country

US
US

Telephone Number

N/A
(732) 866-4305

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/20/2019

Provider Address

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