Individual
MICHELLE BUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, SLP
Contact information
Practice address
2546 E 2ND ST STE 500, CASPER, WY 82609-2063
(307) 577-5204
Mailing address
2546 E 2ND ST STE 500, CASPER, WY 82609-2063
(307) 577-5204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1269
WY
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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