CARRIE S DIEDE

PROVIDENCE HEALTH AND SERVICES - WASHINGTON

Dr CARRIE S DIEDE is a female medical professional, specializing in Qualified Speech Language Pathologist. She graduated in 2015.

Contact

PROVIDENCE HEALTH AND SERVICES - WASHINGTON

1111 S 2ND AVE
WALLA WALL
WA
993624118

Tel: 5098975174

CARRIE S DIEDE Information

Npi 1447798723
Pac Id 6305183641
Professional Enrollment Id I20190124003126
Last Name DIEDE
First Name CARRIE
Middle Name S
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty QUALIFIED SPEECH LANGUAGE PATHOLOGIST
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES - WASHINGTON
Group Practice Pac Id 2860552973
Number Of Group Practice Members 146
Line 1 Street Address 1111 S 2ND AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WALLA WALL
State WA
Zip Code 993624118
Phone Number 5098975174
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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