Provider Demographics
NPI:1578394060
Name:BOCHT, HAYLEY LAURE
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:LAURE
Last Name:BOCHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2818 WELLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55806-1447
Mailing Address - Country:US
Mailing Address - Phone:218-966-3205
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 301
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:WI
Practice Address - Zip Code:54843-0301
Practice Address - Country:US
Practice Address - Phone:715-634-8736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2043-60237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist