Provider Demographics
NPI:1093981649
Name:DIGGS, ANNA MARIE GREENE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANNA MARIE
Middle Name:GREENE
Last Name:DIGGS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 BAREFOOT DR
Mailing Address - Street 2:
Mailing Address - City:WILMORE
Mailing Address - State:KY
Mailing Address - Zip Code:40390-1431
Mailing Address - Country:US
Mailing Address - Phone:859-361-8248
Mailing Address - Fax:859-236-0878
Practice Address - Street 1:409 STEWARTS LN N
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-8825
Practice Address - Country:US
Practice Address - Phone:859-236-0878
Practice Address - Fax:859-236-0878
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3104235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY00153OtherFIRST STEPS PROVIDER NUMBER