Carol Bocker, SLP
Individual provider Active NPI Speech-Language Pathologist · Jackson, WY
NPI 1982955001 · NPPES record last updated Sep 28, 2012
Key facts
- NPI
- 1982955001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP149 (WY)
- Practice address
- 555 E Broadway Ave
Suite 100
Jackson, WY 83001-8640 - Phone
- (307) 739-1864
- NPI assigned
- Sep 28, 2012
- 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 |
|---|---|---|---|
| SP149 | WY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP149 | WY | Yes |
Addresses
Primary practice location
555 E Broadway Ave
Suite 100
Jackson, WY 83001-8640
Mailing address
8259 Wicker Ave
Saint John, IN 46373-8878
Phone (219) 365-6560
Other providers in Jackson, WY
- Leah Black
- Blackburn Drug LLC
- James Edward Blackburn Jr.
- Philip C Blum
- Peter G. Blumenauer
- Jonathan Peter Boltax
- Marianne Rosenwald Boschen
- Ashley Lynn Bostyan
- Lori L. Bowdler
- Whitney Boyce
All providers in Jackson, 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 28, 2012. 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.