Maureen Lucille Cellmer
Individual provider Active NPI Speech-Language Pathologist · Casper, WY
NPI 1295870251 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1295870251
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP-265 (WY)
- Practice address
- 3570 Misty Mountain Rd
Casper, WY 82601-9764 - Phone
- (307) 267-5844
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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-265 | WY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-265 | WY | Yes |
Addresses
Primary practice location
3570 Misty Mountain Rd
Casper, WY 82601-9764
Mailing address
3570 Misty Mountain Rd
Casper, WY 82601-9764
Phone (307) 267-5844
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113041200 | Medicaid | WY |
Other providers in Casper, WY
- Cedar Ridge Child and Family Counseling
- Cedars Health
- Cedars Health
- Cedars Health
- Cedars Health
- Centrad Healthcare LLC
- Central Wyoming Counseling Center
- Central Wyoming Counseling Center
- Central Wyoming Eye Clinic, PC
- Central Wyoming Hospice Program
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 Jul 9, 2007. 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.