Provider Demographics
NPI:1578956488
Name:ROMERO WEHR, DIANA MARIE (MASTERS IN SPEECH PA)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:MARIE
Last Name:ROMERO WEHR
Suffix:
Gender:F
Credentials:MASTERS IN SPEECH PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12251 HGHWY 41N SUITE A
Mailing Address - Street 2:TRU REHAB
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725
Mailing Address - Country:US
Mailing Address - Phone:812-868-1224
Mailing Address - Fax:866-715-9733
Practice Address - Street 1:23019 HWY 149
Practice Address - Street 2:KEOKUK CO HEALTH CENT.
Practice Address - City:SIGOURNEY
Practice Address - State:IA
Practice Address - Zip Code:52591
Practice Address - Country:US
Practice Address - Phone:641-622-2720
Practice Address - Fax:641-622-1186
Is Sole Proprietor?:No
Enumeration Date:2015-03-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00412235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist