Diane R Crisman, MAT CCC-SP is a
Speech-language Pathologist based in Fremont, Indiana. Diane R Crisman is licensed to practice in Indiana (license number 22000997A) and her current practice location is
401 South Broad St., Suite A, Fremont, Indiana. She can be reached at her office (for appointments etc.) via phone at
(260) 495-9098.
NPI number for Diane R Crisman is 1508955907 and her current mailing address is Po Box D, Fremont, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508955907.
Healthcare Provider's Profile
Full Name | Diane R Crisman |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 401 South Broad St., Suite A, Fremont, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508955907
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Diane R Crisman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508955907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 22000997A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diane R Crisman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Diane R Crisman, MAT CCC-SP Po Box D, Fremont, IN 46737-0774 Ph: (260) 495-9098 | Diane R Crisman, MAT CCC-SP 401 South Broad St., Suite A, Fremont, IN 46737-0774 Ph: (260) 495-9098 |
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