Duddy, Diane E

Duddy, Diane E is an individual health care provider with primary practice located at 4921 Parkview Pl Ste 11A Ste 11A, Saint Louis MO 63110-1032. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Duddy, Diane E can be contacted via phone (314) 362-7489.

Contact Information

Primary practice address
4921 Parkview Pl Ste 11A Ste 11A Saint Louis MO 63110-1032
Phone: (314) 362-7489
Fax: (314) 747-5593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 00979 Missouri

Profile Details

NPI number 1952508756
LBN Legal business name Duddy, Diane E
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Jan 24th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952508756 NPPES
Missouri MEDICAID 1952508756
Missouri MEDICAID ENROLLED

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