Provider Demographics
NPI:1033695424
Name:GOULD, DIANNA TINGLE (AUD)
Entity Type:Individual
Prefix:DR
First Name:DIANNA
Middle Name:TINGLE
Last Name:GOULD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:DIANNA
Other - Middle Name:LEIGH
Other - Last Name:TINGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:740 HOSPITAL DR STE 310
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4666
Mailing Address - Country:US
Mailing Address - Phone:409-981-1700
Mailing Address - Fax:
Practice Address - Street 1:740 HOSPITAL DR STE 310
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4666
Practice Address - Country:US
Practice Address - Phone:409-981-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80947231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist