Provider Demographics
NPI:1568993186
Name:CLAYBURGH, DIANA LEONE (AUD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:LEONE
Last Name:CLAYBURGH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 F W HARTFORD DR
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5890
Mailing Address - Country:US
Mailing Address - Phone:603-498-0359
Mailing Address - Fax:
Practice Address - Street 1:405 F W HARTFORD DR
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5890
Practice Address - Country:US
Practice Address - Phone:603-498-0359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2017-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program