Provider Demographics
NPI:1760844930
Name:KERR, DIANA STRAUCHON (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:STRAUCHON
Last Name:KERR
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MS
Other - First Name:DIANA
Other - Middle Name:MARIE
Other - Last Name:STRAUCHON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:1225 MORRIS PARK AVE
Mailing Address - Street 2:1B27
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-9474
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1225 MORRIS PARK AVE
Practice Address - Street 2:1B27
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-9474
Practice Address - Country:US
Practice Address - Phone:718-839-7128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-25
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025092235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist