Provider Demographics
NPI:1427188507
Name:CHEEK, DIANE JONES (MA,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:JONES
Last Name:CHEEK
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 SW ARBOR PARK DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64082-4168
Mailing Address - Country:US
Mailing Address - Phone:816-623-3150
Mailing Address - Fax:816-623-3150
Practice Address - Street 1:1240 SW ARBOR PARK DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64082-4168
Practice Address - Country:US
Practice Address - Phone:816-623-3150
Practice Address - Fax:816-623-3150
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS140235Z00000X
MO01785235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist