Richelle Lyn Dietz, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Casper, WY
NPI 1063256733 · NPPES record last updated Jun 19, 2024
Key facts
- NPI
- 1063256733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP-1328 (WY)
- Practice address
- 2020 E 12TH St
Casper, WY 82601-4007 - Phone
- (307) 235-5097
- NPI assigned
- Jun 19, 2024
- Sex
- Female
- Sole proprietor
- No
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-1328 | WY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-1328 | WY | Yes |
Addresses
Primary practice location
2020 E 12TH St
Casper, WY 82601-4007
Mailing address
2131 Mariposa Blvd
Casper, WY 82604-4823
Phone (307) 315-3895
Other providers in Casper, WY
- Patricia F Diaz
- Rebecca Dawn Dickey
- Brittany Lauren Didonato
- Cassidy Taylor Dieguez
- Laura M Diesburg
- Digestive Care Specialists, LLC
- Katherine Dill
- Darrell L Dillon
- Stacie M Dilts-Harryman
- Kimberlee Dimick
All providers in Casper, 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 Jun 19, 2024. 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.