Provider Demographics
NPI:1356064000
Name:BILLING, DIANA MARIE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:MARIE
Last Name:BILLING
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:MARIE
Other - Last Name:DIMAURO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:1041 NW PORTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-1629
Mailing Address - Country:US
Mailing Address - Phone:805-448-8757
Mailing Address - Fax:
Practice Address - Street 1:1041 NW PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-1629
Practice Address - Country:US
Practice Address - Phone:805-448-8757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty