Natosha Clatterbaugh

Individual provider Active NPI Speech-Language Pathologist · Kemmerer, WY

NPI 1508082785 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1508082785
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP-475 (WY)
Practice address
1208 Elk Street
Kemmerer, WY 83101
Phone
(307) 877-6984
NPI assigned
Apr 17, 2007
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

LicenseStateTypeSpecialty
SP-475WYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-475 WY Yes

Addresses

Primary practice location

1208 Elk Street
Kemmerer, WY 83101

Mailing address

725 3Rd West Ave
Kemmerer, WY 83101

Other providers in Kemmerer, WY

All providers in Kemmerer, WY · Speech-Language Pathologist in Wyoming

Sources for this page

Verify at the official NPI Registry.