Beth Michele Hefenieder, MS, SLP-CCC
Individual provider Active NPI Speech-Language Pathologist · Basin, WY
NPI 1609601467 · NPPES record last updated Sep 3, 2024
Key facts
- NPI
- 1609601467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP-1113 (WY)
- Practice address
- 115 S 4TH St
Basin, WY 82410-5012 - Phone
- (307) 568-2914
- NPI assigned
- Sep 3, 2024
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-1113 | WY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-1113 | WY | Yes |
Addresses
Primary practice location
115 S 4TH St
Basin, WY 82410-5012
Mailing address
PO Box 973
Worland, WY 82401-0973
Other providers in Basin, WY
- Deborah Ann Franko Lane
- Mary Freund
- Guardian Flight LLC
- Camilla Hancock
- Rachel A Hedtke
- Hot Springs County Hospital District
- Darwin L Irvine
- Deborah Collins Jones
- Anja Louis
- Ralph Henry Louis Jr.
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 3, 2024. 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.