Individual
IVY LEANN DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP CF
Contact information
Practice address
1100 1ST ST, MILFORD, NE 68405-9708
(402) 761-2261
Mailing address
3825 BALDWIN AVE APT 53, LINCOLN, NE 68504-4108
(402) 219-2486
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
646
NE
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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