Provider Demographics
NPI:1114118957
Name:SCHIRMER, DIANA G (MS, CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:DIANA
Middle Name:G
Last Name:SCHIRMER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 E 27TH ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-1915
Mailing Address - Country:US
Mailing Address - Phone:956-501-6113
Mailing Address - Fax:
Practice Address - Street 1:2415 E 27TH ST
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78574-1915
Practice Address - Country:US
Practice Address - Phone:956-501-6113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103584235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist