Provider Demographics
NPI:1861976151
Name:SPIEGLE, DIANA ELIZABETH
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:ELIZABETH
Last Name:SPIEGLE
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 1:432 TUCKAHOE RD
Mailing Address - Street 2:
Mailing Address - City:MARMORA
Mailing Address - State:NJ
Mailing Address - Zip Code:08223-1303
Mailing Address - Country:US
Mailing Address - Phone:609-675-1031
Mailing Address - Fax:
Practice Address - Street 1:5 RUE HENRI MONTAUT
Practice Address - Street 2:APPT 4
Practice Address - City:TOULOUSE
Practice Address - State:HAUTE-GARONNE
Practice Address - Zip Code:31400
Practice Address - Country:FR
Practice Address - Phone:609-675-1031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NJ41YS01001300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program