Provider Demographics
NPI:1629479415
Name:RIETHMILLER, DIANE (MA,CCC/SLP)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:RIETHMILLER
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 1:5001 AYERS LIME STONE RD
Mailing Address - Street 2:
Mailing Address - City:MARTINS FERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43935-1588
Mailing Address - Country:US
Mailing Address - Phone:740-633-3754
Mailing Address - Fax:740-633-5918
Practice Address - Street 1:5001 AYERS LIME STONE RD
Practice Address - Street 2:
Practice Address - City:MARTINS FERRY
Practice Address - State:OH
Practice Address - Zip Code:43935-1588
Practice Address - Country:US
Practice Address - Phone:740-633-3754
Practice Address - Fax:740-633-5918
Is Sole Proprietor?:No
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.6852235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist