Provider Demographics
NPI:1356658850
Name:LA SCALIA, DIANA ELIZABETH (MS)
Entity Type:Individual
Prefix:MISS
First Name:DIANA
Middle Name:ELIZABETH
Last Name:LA SCALIA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 4TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-4755
Mailing Address - Country:US
Mailing Address - Phone:631-484-3812
Mailing Address - Fax:
Practice Address - Street 1:1555 4TH ST
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-4755
Practice Address - Country:US
Practice Address - Phone:631-484-3812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist