Provider Demographics
NPI:1346794302
Name:DIENY, ERIN WHITWORTH (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:WHITWORTH
Last Name:DIENY
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 1:38 MISSION CT
Mailing Address - Street 2:
Mailing Address - City:FOOTHILL RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92610-2466
Mailing Address - Country:US
Mailing Address - Phone:626-533-5038
Mailing Address - Fax:
Practice Address - Street 1:30252 TOMAS
Practice Address - Street 2:SUITE 100
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2129
Practice Address - Country:US
Practice Address - Phone:949-459-1658
Practice Address - Fax:949-459-1667
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP21454235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist