Provider Demographics
NPI:1811977697
Name:WOJNOWSKI, DIANE M (MA, CCC/SLP)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:M
Last Name:WOJNOWSKI
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:MS
Other - First Name:DIANE
Other - Middle Name:M
Other - Last Name:VAVRINEC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC/SLP
Mailing Address - Street 1:9 MANLON TER
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-1123
Mailing Address - Country:US
Mailing Address - Phone:716-837-7058
Mailing Address - Fax:
Practice Address - Street 1:1416 SWEET HOME RD STE 9A
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2784
Practice Address - Country:US
Practice Address - Phone:716-688-3010
Practice Address - Fax:716-688-3516
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010279-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist