Adan Arredondo, MS, CCC-SLP

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

NPI 1679280648 · NPPES record last updated Oct 31, 2022

Key facts

NPI
1679280648
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP-1242 (WY)
Practice address
1981 Double Eagle Dr Ste a
Sheridan, WY 82801-2132
Phone
(307) 429-0837
Fax
(307) 215-1512
NPI assigned
Oct 31, 2022
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
SP-1242WYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Speech Therapy LLC Speech-Language Pathologist Current
since Nov 6, 2022
Accepting new patients
One Hole Too Many LLC Past
since Nov 6, 2022
Accepting new patients

Locations

1981 Double Eagle Dr
Ste A
Sheridan, WY 82801
Phone (307) 751-3076

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-1242 WY Yes

Addresses

Primary practice location

1981 Double Eagle Dr Ste a
Sheridan, WY 82801-2132

Mailing address

13 Chukkar Lane
Sheridan, WY 82801
Phone (307) 429-0837

Other names

  • Adam Arredondo Other name

Other providers in Sheridan, WY

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

Sources for this page

Verify at the official NPI Registry.