MEDICARE: VIVERA SLP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1265382279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIVERA SLP LLC

Provider Business Mailing Address
First Line	:	2203 MIDWAY BLVD
Second Line	:
City	:	WAUSAU
State	:	WI
Zip	:	54403-6951
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2203 MIDWAY BLVD
Second Line	:
City	:	WAUSAU
State	:	WI
Zip	:	54403-6951
Country	:	US
Telephone Number	:	715-255-0261
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER/OWNER
Name	:	STEPHANIE FAY
Credential	:	MS CCC-SLP
Telephone Number	:	715-581-7833

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

Similar Medicare Providers

1720883424 — STEPHANIE FAY MS CCC-SLP
Practice Location Address:

2203 MIDWAY BLVD
WAUSAU, WI
54403-6951

Practice Phone: 715-581-7833
Practice Fax:

1316780364 — ROGERS MEMORIAL HOSPITAL INCORPORATED
Practice Location Address:

500 N 3RD ST STE 600
WAUSAU, WI
54403-4885

Practice Phone: 800-767-4411
Practice Fax:

1912903303 — DR. THOMAS JOHN NICK D.D.S.
Practice Location Address:

630 1ST ST
WAUSAU, WI
54403-4851

Practice Phone: 715-842-0314
Practice Fax: 715-842-5565

1902889710 — LUIS C GALANG D.O.
Practice Location Address:

800 1ST ST
WAUSAU, WI
54403-4754

Practice Phone: 715-261-8500
Practice Fax: 715-261-8671

1619950425 — DR. MATTHEW G. HATTENHAUER M.D.
Practice Location Address:

800 N 1ST ST
WAUSAU, WI
54403-4754

Practice Phone: 715-261-8500
Practice Fax: 715-261-8667

1811970635 — DR. CALVIN D. SPRIK M.D.
Practice Location Address:

800 N 1ST ST
WAUSAU, WI
54403-4754

Practice Phone: 715-261-8500
Practice Fax: 715-261-8667

Directions to “VIVERA SLP LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.