Individual
DEBRA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
307 MAIN ST, LANDER, WY 82520-3101
(307) 332-2715
(307) 332-0314
Mailing address
307 MAIN ST, LANDER, WY 82520-3101
(307) 332-2715
(307) 332-0314
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-294
WY
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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