Healthcare Provider Details

I. General information

NPI: 1932039831
Provider Name (Legal Business Name): SARA DINGELDEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 E 1ST AVE
STANLEY WI
54768-1279
US

IV. Provider business mailing address

2828 MARS AVE
EAU CLAIRE WI
54703-0836
US

V. Phone/Fax

Practice location:
  • Phone: 715-644-5534
  • Fax:
Mailing address:
  • Phone: 608-799-2927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: