Provider Demographics
NPI:1619296183
Name:NADER-EPLING, DIANE E (SLP)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:E
Last Name:NADER-EPLING
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 DUNBAR AVE
Mailing Address - Street 2:
Mailing Address - City:DUNBAR
Mailing Address - State:WV
Mailing Address - Zip Code:25064-2920
Mailing Address - Country:US
Mailing Address - Phone:304-768-3307
Mailing Address - Fax:304-768-3620
Practice Address - Street 1:1313 DUNBAR AVE
Practice Address - Street 2:
Practice Address - City:DUNBAR
Practice Address - State:WV
Practice Address - Zip Code:25064-2920
Practice Address - Country:US
Practice Address - Phone:304-768-3307
Practice Address - Fax:304-768-3620
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSLP 1041235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist