Provider Demographics
NPI:1609887066
Name:MUHR, DIANE IRENE (MS)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:IRENE
Last Name:MUHR
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 1:162 HEGEMAN AVE
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05446-3156
Mailing Address - Country:US
Mailing Address - Phone:802-655-1356
Mailing Address - Fax:802-655-1231
Practice Address - Street 1:162 HEGEMAN AVE
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-3156
Practice Address - Country:US
Practice Address - Phone:802-655-1356
Practice Address - Fax:802-655-1231
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist