Provider Demographics
NPI:1669290573
Name:KATZBERGER, DIANE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:
Last Name:KATZBERGER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:
Other - Last Name:SINDELAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14215 HEMPSTEAD DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-2980
Mailing Address - Country:US
Mailing Address - Phone:708-214-7678
Mailing Address - Fax:
Practice Address - Street 1:6801 WILMETTE AVE
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-3817
Practice Address - Country:US
Practice Address - Phone:630-852-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1374408235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist