Hailey Jo Grove, SLP

Individual provider Active NPI Speech-Language Pathologist · Osseo, WI

NPI 1720570740 · NPPES record last updated Jun 28, 2021

Key facts

NPI
1720570740
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4652 (WI)
Practice address
13025 8TH St
Osseo, WI 54758-7634
Phone
(715) 597-2575
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4652WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4652 WI Yes

Addresses

Primary practice location

13025 8TH St
Osseo, WI 54758-7634

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (715) 838-5222

Other practice location 1

1221 Whipple St
Eau Claire, WI 54703
Phone (715) 864-8619

Other names

  • Hailey Jo Brost Former name

Other providers in Osseo, WI

All providers in Osseo, WI · Speech-Language Pathologist in Wisconsin

Sources for this page

Verify at the official NPI Registry.