Active NPIIndividual providerSole proprietor

Diane M Pisan, CCC-SLP

Speech-Language Pathologist, in Waltham, Massachusetts

NPI Number1164662011
Practice location
977 Main St, Waltham, MA 02451-7406
Fax
—
Last updated
March 4, 2009

Diane Marie Pisan is a Speech-Language Pathologist, based in Waltham, MA. Diane Marie Pisan practices in Waltham, MA and has the professional credentials of CCC-SLP. The NPI Number for Diane Marie Pisan is 1164662011 and holds a License No. 7295 (MA). The current practice location address for Diane Marie Pisan is 977 Main St, Waltham, MA 02451-7406 and can be reached out via phone at 781-891-0452.

Provider Profile Details

NPI Number
1164662011
Provider Name
Diane Marie Pisan
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
977 Main St, Waltham, MA 02451-7406
Phone Number
781-891-0452
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 4, 2009
Last Update Date
March 4, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
977 Main St
Waltham, MA 02451-7406
Zip
02451-7406
Phone Number
781-891-0452
Waltham, MA 02451Get directions →

Provider Business Mailing Address Details

Address
23 Woodbine RD
Apt 6
Natick, MA 01760-4017
City
Natick
State
MA
Zip
01760-4017

License Information

License Number
7295
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Diane M Pisan, CCC-SLP?

The NPI number of Diane M Pisan, CCC-SLP is 1164662011. It was assigned on March 4, 2009 and is currently active in the NPPES registry.

What is the specialty of Diane M Pisan, CCC-SLP?

Diane M Pisan, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 7295.

Where does Diane M Pisan, CCC-SLP practice?

The practice location is 977 Main St, Waltham, MA 02451-7406. The office can be reached at 781-891-0452 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164662011 directly on the NPPES registry website.

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