Individual
CHRISTINA NOEL COUGHANOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1202 E JACKSON AVE, RIVERTON, WY 82501-3866
(307) 856-4337
Mailing address
100 PUSH ROOT CT, LANDER, WY 82520-3460
(307) 332-5508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-590
WY
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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