Molly Makela Barber, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Jackson, WY
NPI 1194537563 · NPPES record last updated Jan 23, 2025
Key facts
- NPI
- 1194537563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP-1151 (WY)
- Practice address
- 3105 W Big Trail Dr
Jackson, WY 83001-9296 - Phone
- (307) 733-3791
- NPI assigned
- Jan 23, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-1151 | WY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Children'S Learning Center | Past |
Accepting new patients | |
| Children'S Learning Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-1151 | WY | Yes |
Addresses
Primary practice location
3105 W Big Trail Dr
Jackson, WY 83001-9296
Mailing address
PO Box 4180
Jackson, WY 83001-4180
Phone (307) 733-3791
Other providers in Jackson, WY
- Paul Bailey
- Sharon L Bailey
- Emily Bain
- Brittany Wilson Baker
- Jonathan Glenn Baker
- Jenny Barbera
- Kayla Michelle Barglowski
- Alexandra Barnett
- Francine P Bartlett
- Ian Barwell
All providers in Jackson, 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 Jan 23, 2025. 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.