Provider Demographics
NPI:1174162028
Name:STONECIPHER, HADLEY KATE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:HADLEY
Middle Name:KATE
Last Name:STONECIPHER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 N TRACY AVE
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-2810
Mailing Address - Country:US
Mailing Address - Phone:406-570-0608
Mailing Address - Fax:
Practice Address - Street 1:604 N TRACY AVE
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-2810
Practice Address - Country:US
Practice Address - Phone:406-570-0608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-24
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR016332235Z00000X
AZSLP12183235Z00000X
CASP29672235Z00000X
MTSLP-SP-LIC-8123235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist