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Organization

THE SHRIVER THERAPY GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES E. SHRIVER (PRESIDENT)
(307) 237-4477
Entity
Organization

Contact information

Practice address
350 W A ST, SUITE 205, CASPER, WY 82601-1860
(307) 237-4474
(307) 237-6672
Mailing address
2031 W 39TH ST, CASPER, WY 82604-5070
(307) 237-4477
(307) 237-6672

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-232
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01150002-304991
BLUE CROSS BLUE SHIELD
WY
Enumeration date
09/13/2006
Last updated
08/22/2020
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