Individual
TRACY DIEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-HIS
Contact information
Practice address
128 S 1ST ST, MOUNT HOREB, WI 53572-1949
(608) 285-2772
Mailing address
128 S 1ST ST, MOUNT HOREB, WI 53572-1949
(082) 852-7726
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
525
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAS-525
NEVADA SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY & HEARING AID DISPENSING BOARD
NV
Enumeration date
10/02/2015
Last updated
06/25/2025
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