Individual
DIANA L. DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D, CCC-A
Contact information
Practice address
75 CRYSTAL RUN RD BLDG B, MIDDLETOWN, MIDDLETOWN, NY 10941-7000
(888) 350-1368
Mailing address
5 EKES CT, SUSSEX, SUSSEX, NJ 07461-4900
(973) 702-1447
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
57 002205
NY
231H00000X
Audiologist
YA000296
NJ
Other
Enumeration date
01/15/2007
Last updated
03/10/2011
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