Provider Demographics
NPI:1992582654
Name:DIAZ, ALLISON MEHGAN
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MEHGAN
Last Name:DIAZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2272 S NEVADA CT APT H232
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-5952
Mailing Address - Country:US
Mailing Address - Phone:509-570-6403
Mailing Address - Fax:
Practice Address - Street 1:600 N JAMES AVE
Practice Address - Street 2:
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-4629
Practice Address - Country:US
Practice Address - Phone:509-884-7115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant