National Provider Identifier

Diana R. Deyo, M.S.CCC-SLP

Diana R. Deyo, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Canandaigua, NY and a listed phone number of (585) 394-9510.

NPI 1669624565Canandaigua, NYSpeech-Language Pathologist

Profile Overview

NPI
1669624565
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 22, 2008
Last Updated
October 22, 2008

Practice Location

  • 5415 County Road 30
  • Canandaigua, NY 14424-7964

Phone: (585) 394-9510

Mailing Address

  • 66 S Main St
  • Rushville, NY 14544-9673

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1669624565
Entity Type
Individual
Last Name
Deyo
First Name
Diana
Middle Name
R.
Credential
M.S.CCC-SLP
Mailing Street Address
66 S Main St
Mailing City
Rushville
Mailing State
NY
Mailing ZIP Code
14544-9673
Mailing Country
US
Mailing Phone
(585) 554-5230
Practice Street Address
5415 County Road 30
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-7964
Practice Country
US
Practice Phone
(585) 394-9510
Practice Fax
(585) 394-5326
Enumeration Date
October 22, 2008
Last Updated
October 22, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)