| NPI | 1841171865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MASLANIK Speech Language Pathologist 307-371-7637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-15 |