Most Relevant Information
Provider Data
| NPI Number: | 1003197187 |
| Provider Name: | DIANA J SADIASA-CHUA M.S. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 18482 |
Most Important Dates
| Enumeration Date: | 09/02/2011 |
| Last Updated: | 09/02/2011 |
Provider Practice Location
1210 A STREET
ANTIOCH
CA
94509
Practice Location Phone/Fax
| Phone: | 9257765625 |
| Fax: | 9257570702 |
Provider Mailing Location
4560 SE INTERNATIONAL WAY
STE. 100
MILWAUKIE
OR
97222
Provider Mailing Phone/Fax
| Phone: | 9712065200 |
| Fax: | 9712065203 |