NPI | 1164782538 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY ELIZABETH LINAM Speech Language Pathologist & Pres. 307-267-5541 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-310) |
Additional Taxonomies | 251E00000X Home Health (Licence: WY SP-310) |
Enumeration Date | 2012-05-20 |
Last Update Date | 2012-05-22 |