Provider Demographics
NPI:1154689222
Name:DIAS, NADYNE (MS, CCC-SLP/L)
Entity Type:Individual
Prefix:
First Name:NADYNE
Middle Name:
Last Name:DIAS
Suffix:
Gender:F
Credentials:MS, CCC-SLP/L
Other - Prefix:
Other - First Name:NADYNE
Other - Middle Name:
Other - Last Name:KAMINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP/L
Mailing Address - Street 1:1243 S CEDAR CREST BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6246
Mailing Address - Country:US
Mailing Address - Phone:610-402-9776
Mailing Address - Fax:
Practice Address - Street 1:1243 S CEDAR CREST BLVD STE 302
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6246
Practice Address - Country:US
Practice Address - Phone:610-402-9770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-26
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL010813235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist