| NPI | 1114022423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E. SHRIVER President 307-237-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-232) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |