Healthcare Provider Details

I. General information

NPI: 1235063520
Provider Name (Legal Business Name): HAYDEN STOVEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 WEST AVE
RICE LAKE WI
54868-4425
US

IV. Provider business mailing address

4811 SOUTHRIDGE CT APT 6
EAU CLAIRE WI
54701-5160
US

V. Phone/Fax

Practice location:
  • Phone: 715-719-1010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7385154
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: