Wertz, Diane

Wertz, Diane is an sole proprietor health care provider with primary practice located at 4423 Nw 6Th Pl Suite C, Gainesville FL 32607-6115. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wertz, Diane can be contacted via phone (352) 379-8555.

Contact Information

Primary practice address
4423 Nw 6Th Pl Suite C Gainesville FL 32607-6115
Fax: (352) 379-8585
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA4409 Florida

Profile Details

NPI number 1770633638
LBN Legal business name Wertz, Diane
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Apr 6th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770633638 NPPES
Florida MEDICAID 891765500

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