Healthcare Provider Details

I. General information

NPI: 1699848283
Provider Name (Legal Business Name): TRACY RUTH HAYDEN AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 02/21/2020
Certification Date: 02/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S 24TH ST W UNIT 7
BILLINGS MT
59102-5659
US

IV. Provider business mailing address

3204 TURNBERRY CIR
BILLINGS MT
59101-9476
US

V. Phone/Fax

Practice location:
  • Phone: 406-656-2003
  • Fax:
Mailing address:
  • Phone: 406-690-4119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License NumberAU887
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License NumberAU887
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU887
License Number StateMT
# 4
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU887
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: