Healthcare Provider Details

I. General information

NPI: 1811489339
Provider Name (Legal Business Name): HALEY ELIZABETH MEHLE MS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HALEY ELIZABETH FRANSON

II. Dates (important events)

Enumeration Date: 05/31/2018
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 KAPHAEM RD
TOMAHAWK WI
54487-7800
US

IV. Provider business mailing address

6245 UPTON AVE S
MINNEAPOLIS MN
55423-1017
US

V. Phone/Fax

Practice location:
  • Phone: 715-453-2141
  • Fax:
Mailing address:
  • Phone: 715-864-0903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number508411
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1001461220
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: