Haley Marie Diedrick, is a
Speech-language Pathologist based in Weyauwega, Wisconsin. Haley Marie Diedrick is licensed to practice in Wisconsin (license number 4854-154) and her current practice location is
717 E Alfred St, Weyauwega, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 867-3121.
NPI number for Haley Marie Diedrick is 1679126098 and her current mailing address is 717 E Alfred St, Weyauwega, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679126098.
Healthcare Provider's Profile
Full Name | Haley Marie Diedrick |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 717 E Alfred St, Weyauwega, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679126098
- Provider Enumeration Date: 07/24/2019
- Last Update Date: 07/24/2019
Medical Identifiers
Medical identifiers for Haley Marie Diedrick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679126098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 4854-154 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Haley Marie Diedrick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Haley Marie Diedrick, 717 E Alfred St, Weyauwega, WI 54983-9024 Ph: (920) 867-3121 | Haley Marie Diedrick, 717 E Alfred St, Weyauwega, WI 54983-9024 Ph: (920) 867-3121 |
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