# WYOMING HEARING CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710156138
- **Authorized official:** MR. JONATHAN M ROSS MS CCC-A (OWNER/AUDIOLOGIST)
- **Authorized official phone:** (307) 632-8224

## Contact information

- **Practice address:** 5320 EDUCATION DR, CHEYENNE, WY 82009-4058
- **Practice address phone:** (307) 632-8224
- **Practice address fax:** (307) 635-3691
- **Mailing address:** 5320 EDUCATION DR, CHEYENNE, WY 82009-4058
- **Mailing address phone:** (307) 632-8224
- **Mailing address fax:** (307) 635-3691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | A-954 | WY | Yes |

## Other

- **Enumeration date:** 02/29/2008
- **Last updated:** 02/29/2008