Provider Demographics
NPI:1366721193
Name:DIGGS, LUCINDA LEE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LUCINDA
Middle Name:LEE
Last Name:DIGGS
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Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:2804 DEL PRADO BLVD S
Mailing Address - Street 2:SUITE 202-3
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7252
Mailing Address - Country:US
Mailing Address - Phone:239-540-1179
Mailing Address - Fax:239-540-8563
Practice Address - Street 1:2804 DEL PRADO BLVD S
Practice Address - Street 2:SUITE 202-3
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7252
Practice Address - Country:US
Practice Address - Phone:239-540-1179
Practice Address - Fax:239-540-8563
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLSA6543235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist