| NPI | 1679815989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY G KENIK Speech Language Pathologist 307-620-0054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-318) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |