Patricia Drui, SLP
Individual provider Active NPI Speech-Language Pathologist · Jackson, WY
NPI 1376895169 · NPPES record last updated Oct 4, 2012
Key facts
- NPI
- 1376895169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP-119 (WY)
- Practice address
- 555 E Broadway Ave
Suite 100
Jackson, WY 83001-8640 - Phone
- (307) 739-1864
- NPI assigned
- Oct 4, 2012
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-119 | WY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-119 | WY | Yes |
Addresses
Primary practice location
555 E Broadway Ave
Suite 100
Jackson, WY 83001-8640
Mailing address
8259 Wicker Ave
Saint John, IN 46373-8878
Phone (219) 365-6560
Other providers in Jackson, WY
- Donna J. Andrus
- Double Rainbow Sciences, LLC
- Eric Doyle
- Dr Riley PC
- Daniel Draper
- Jacob Louis Durham
- John Dudley Duross
- Leann M. Dzemske
- Molly Katherine Eagar
- East Jackson Mental Health
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 Oct 4, 2012. 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.