Provider Demographics
NPI:1902696313
Name:DIAMOND, MARANDA L (CCC-SLP, TSSLD)
Entity type:Individual
Prefix:
First Name:MARANDA
Middle Name:L
Last Name:DIAMOND
Suffix:
Gender:
Credentials:CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 W SUNSET BLVD, LOS ANGELES, CA 90046
Mailing Address - Street 2:APT 9
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7300 W SUNSET BLVD, LOS ANGELES, CA 90046
Practice Address - Street 2:APT 2
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90038
Practice Address - Country:US
Practice Address - Phone:323-285-2283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist