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Diane Damitio is one of 6 speech-language pathologists practicing in Lakeway, Texas .
Diane Damitio practices with Legacy Healthcare Services Inc.
Registry record (NPPES)
NPI
1548915234
Type
Type 1 · Individual
Primary taxonomy
Speech-Language Pathologist · 235Z00000X
Address on file
2716 Barton Creek Blvd Apt 713 Austin, TX 78735-1671 (703) 508-8838
Enumerated
Feb 21, 2022
Record last updated
Feb 21, 2022
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXQualified Speech Language Pathologist
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
302 Medical Pkwy
Lakeway , TX 78738
5125013488238
More speech-language pathologists in Lakeway
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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