Provider Demographics
NPI:1700039484
Name:DROLLINGER, DIANA (MA/CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:
Last Name:DROLLINGER
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 1:1847 MAYFLOWER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-4103
Mailing Address - Country:US
Mailing Address - Phone:917-375-2833
Mailing Address - Fax:718-828-3809
Practice Address - Street 1:1847 MAYFLOWER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-4103
Practice Address - Country:US
Practice Address - Phone:917-375-2833
Practice Address - Fax:718-828-3809
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009724-235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist