Provider Demographics
NPI:1699071290
Name:MORRIS HOURIHAN, DIANE M (MS-CCC/NYSL)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:M
Last Name:MORRIS HOURIHAN
Suffix:
Gender:F
Credentials:MS-CCC/NYSL
Other - Prefix:MISS
Other - First Name:DIANE
Other - Middle Name:M
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS-CCC/NYSL
Mailing Address - Street 1:141 GIRARD AVE
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-1359
Mailing Address - Country:US
Mailing Address - Phone:716-687-2352
Mailing Address - Fax:
Practice Address - Street 1:141 GIRARD AVE
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-1359
Practice Address - Country:US
Practice Address - Phone:716-687-2352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-31
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY58005211235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist