Individual
AMANDA BUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 PIONEER AVE, CHEYENNE, WY 82001-3610
(307) 399-5276
Mailing address
555 W 6TH ST APT C, CHEYENNE, WY 82007-1287
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1049
WY
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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