Provider Demographics
NPI:1104344118
Name:GODLEWSKI, DIANA ELAINE (MS,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:ELAINE
Last Name:GODLEWSKI
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Gender:F
Credentials:MS,CCC-SLP
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Mailing Address - Street 1:100 MOUNT CLINTON PIKE
Mailing Address - Street 2:ROCKINGHAM COUNTY SCHOOLS
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802
Mailing Address - Country:US
Mailing Address - Phone:540-564-3221
Mailing Address - Fax:540-564-3250
Practice Address - Street 1:100 MOUNT CLINTON PIKE
Practice Address - Street 2:ROCKINGHAM COUNTY SCHOOLS
Practice Address - City:HARRISBURG
Practice Address - State:VA
Practice Address - Zip Code:22802
Practice Address - Country:US
Practice Address - Phone:540-564-3221
Practice Address - Fax:540-564-3250
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2017-08-30
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Provider Licenses
StateLicense IDTaxonomies
VA2202002978235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist