Diana Marciniak, MA CCC-SLP

NPI 1770109746 · on the registry since 2020 · sole proprietor

Practice

Address: 26715 Greenfield Rd
Southfield, MI 48076
Phone: (248) 557-0050
Organisation at this address: Southfield Opco Llc
Medilodge Of Southfield, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan