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)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