Debbie Lee Crist, MS CCCSLP
Individual provider Active NPI Speech-Language Pathologist · Basin, WY
NPI 1508014382 · NPPES record last updated Sep 4, 2008
Key facts
- NPI
- 1508014382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP428 (WY)
- Practice address
- 115 South 4TH St
Basin, WY 82410 - Phone
- (307) 568-2914
- Fax
- (307) 568-2914
- NPI assigned
- Sep 4, 2008
- 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 |
|---|---|---|---|
| SP428 | WY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP428 | WY | Yes |
Addresses
Primary practice location
115 South 4TH St
Basin, WY 82410
Mailing address
PO Box 882
115 South 4TH St
Basin, WY 82410
Phone (307) 568-2914
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770688871 | Medicaid | WY |
Other providers in Basin, WY
- Kristi L. Bonnel-Phillips
- Abby Bowers
- Staci Briscoe
- Ronald Lee Burinsky
- Cloud Peak Counseling Center
- Deborah Ann Franko Lane
- Mary Freund
- Guardian Flight LLC
- Camilla Hancock
- Rachel A Hedtke
All providers in Basin, 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 Sep 4, 2008. 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.