Michelle Leanne Coulter, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Laramie, WY
NPI 1003332750 · NPPES record last updated Aug 15, 2017
Key facts
- NPI
- 1003332750
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP-586 (WY)
- Practice address
- 1771 Centennial Drive
Laramie, WY 82070-8404 - Phone
- (307) 742-3571
- NPI assigned
- Aug 15, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-586 | WY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Developmental Preschool and Day Care Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-586 | WY | Yes |
Addresses
Primary practice location
1771 Centennial Drive
Laramie, WY 82070-8404
Mailing address
1771 Centennial Drive
Laramie, WY 82070-8404
Phone (307) 742-3571
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All providers in Laramie, WY · Speech-Language Pathologist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.