Provider Demographics
NPI:1164706982
Name:DUNCAN, DIANE E (BS, TSSLD)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:E
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:BS, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 OVERLOOK RD
Mailing Address - Street 2:
Mailing Address - City:WEST HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10993-1011
Mailing Address - Country:US
Mailing Address - Phone:845-271-3471
Mailing Address - Fax:
Practice Address - Street 1:680 OAK TREE RD
Practice Address - Street 2:
Practice Address - City:PALISADES
Practice Address - State:NY
Practice Address - Zip Code:10964-1532
Practice Address - Country:US
Practice Address - Phone:845-359-8846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4101931012355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant