Provider Demographics
NPI:1437322591
Name:APPLEMAN SHRIDER, DIANA ROSE (MA,CCC/SLP)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:ROSE
Last Name:APPLEMAN SHRIDER
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 1:1122 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-2658
Mailing Address - Country:US
Mailing Address - Phone:740-588-2182
Mailing Address - Fax:740-588-2185
Practice Address - Street 1:1122 TAYLOR ST
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-2658
Practice Address - Country:US
Practice Address - Phone:740-588-2182
Practice Address - Fax:740-588-2185
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP 5574235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist