ALEXIS THEONI BELLACK

CHEYENNE, WY
NPI1164858288
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: WY  SP-538)
Enumeration Date2013-09-20
Last Update Date2013-09-20
Business Address
MRS. ALEXIS THEONI BELLACK M.S. CCC-SLP
5801 YELLOWSTONE RD
CHEYENNE, WY 82009-4174
Phone number: 307-638-6100
Mailing Address
MRS. ALEXIS THEONI BELLACK M.S. CCC-SLP
935 NEW BEDFORD DR
CHEYENNE, WY 82009-2810
Phone number: 307-631-0052