Individual
MICHAEL J MURDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. CCC
Contact information
Practice address
1425 BUENA VISTA DR, LANDER, WY 82520-3463
(307) 349-2998
Mailing address
1425 BUENA VISTA DR, PO BOX 202, LANDER, WY 82520-3463
(307) 349-2998
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
074
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01028456
ASHA CERTIFICATION
—
01
—
074
STATE LICENSURE
WY
01
—
163770
CALIFORNIA SPEECH HEARING
CA
01
—
2226
COLORADO SPEECH AND HEARING ASSOCIATION
CO
Enumeration date
07/03/2007
Last updated
02/17/2015
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