Provider Demographics
NPI:1912429754
Name:SUAREZ, DIAMOND LUZ (MS CF-SLP)
Entity Type:Individual
Prefix:
First Name:DIAMOND
Middle Name:LUZ
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 16TH ST APT 14
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-5316
Mailing Address - Country:US
Mailing Address - Phone:718-915-3523
Mailing Address - Fax:
Practice Address - Street 1:177 16TH ST APT 14
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-5316
Practice Address - Country:US
Practice Address - Phone:718-915-3523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist