Provider Demographics
NPI:1194377721
Name:WHEMPNER, HAILEE JAE (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HAILEE
Middle Name:JAE
Last Name:WHEMPNER
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4916 S GRINNELL AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-7658
Mailing Address - Country:US
Mailing Address - Phone:605-868-0406
Mailing Address - Fax:
Practice Address - Street 1:201 E 38TH ST SIOUX FALLS
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-5898
Practice Address - Country:US
Practice Address - Phone:605-773-3678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-13
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD970252Y00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty