Provider Demographics
NPI:1851674139
Name:URREA, DIANA PAOLA (MS/SLP/TSLD)
Entity Type:Individual
Prefix:MISS
First Name:DIANA
Middle Name:PAOLA
Last Name:URREA
Suffix:
Gender:F
Credentials:MS/SLP/TSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:574 77TH ST
Mailing Address - Street 2:APARTMENT C3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3339
Mailing Address - Country:US
Mailing Address - Phone:347-444-0937
Mailing Address - Fax:
Practice Address - Street 1:574 77TH ST
Practice Address - Street 2:APARTMENT C3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3339
Practice Address - Country:US
Practice Address - Phone:347-444-0937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020692-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist