Provider Demographics
NPI:1932655602
Name:ZIGGAS, DIANE (MASLPCCC)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:ZIGGAS
Suffix:
Gender:F
Credentials:MASLPCCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 BURGESS DRIVE
Mailing Address - Street 2:GERITRIC CARE SERVICES
Mailing Address - City:ZELIENOPLE
Mailing Address - State:PA
Mailing Address - Zip Code:16063
Mailing Address - Country:US
Mailing Address - Phone:724-452-2362
Mailing Address - Fax:
Practice Address - Street 1:105 BURGESS DR
Practice Address - Street 2:
Practice Address - City:ZELIENOPLE
Practice Address - State:PA
Practice Address - Zip Code:16063-2525
Practice Address - Country:US
Practice Address - Phone:724-452-2362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA11066353235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist