Chisum, Diana

Chisum, Diana is an individual health care provider with primary practice located at 2629 N 110Th Dr , Avondale AZ 85392-5892. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Chisum, Diana can be contacted via phone (623) 229-9423.

Contact Information

Primary practice address
2629 N 110Th Dr Avondale AZ 85392-5892
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SLPA11063 Arizona

Profile Details

NPI number 1669969598
LBN Legal business name Chisum, Diana
Credentials SLPA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2018
Last updated Apr 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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