| NPI | 1740315647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN K. NANNENGA Speech Language Pathologist 307-587-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-363) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |