Sweetwater Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SWEETWATER THERAPY, LLC

Practice address

313 N 5TH St E
Riverton, WY 82501-3612

Phone

(307) 840-4576

Fax

(307) 463-2578

NPI assigned

Sep 11, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer K Vincent

Title

Owner

Phone

(307) 840-4576

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1417280199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N 5TH ST E",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013612",
            "telephone_number": "307-840-4576",
            "fax_number": "307-463-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N 5TH ST E",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013612",
            "telephone_number": "307-840-4576",
            "fax_number": "307-463-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-840-4576"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Riverton, WY
• Providers in Riverton, WY by specialty
• Speech-Language Pathologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.