Kathe Annice Dahill
Individual provider Active NPI Speech-Language Pathologist · Cheyenne, WY
NPI 1962867648 · NPPES record last updated Dec 22, 2015
Key facts
- NPI
- 1962867648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP-348 (WY)
- Practice address
- 2373 Plain View Rd
Cheyenne, WY 82009-4436 - Phone
- (307) 631-7403
- NPI assigned
- Dec 22, 2015
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP-348 | WY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-348 | WY | Yes |
Addresses
Primary practice location
2373 Plain View Rd
Cheyenne, WY 82009-4436
Mailing address
2373 Plain View Rd
Cheyenne, WY 82009-4436
Phone (307) 631-7403
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All providers in Cheyenne, 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 Dec 22, 2015. 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.