Healthcare Provider Details

I. General information

NPI: 1730097775
Provider Name (Legal Business Name): EVYN HAUSMAN M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5966 N 35TH ST
MILWAUKEE WI
53209-4055
US

IV. Provider business mailing address

2577 N DOWNER AVE APT 209
MILWAUKEE WI
53211-4276
US

V. Phone/Fax

Practice location:
  • Phone: 414-393-2852
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1001450128
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: