Provider Demographics
NPI:1538958350
Name:PEREZ DIARTE, DIANA B
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:B
Last Name:PEREZ DIARTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7217 W SUPERIOR AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85043-7297
Mailing Address - Country:US
Mailing Address - Phone:623-297-9708
Mailing Address - Fax:
Practice Address - Street 1:7217 W SUPERIOR AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85043-7297
Practice Address - Country:US
Practice Address - Phone:623-297-9708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA141052355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant