Individual
MRS. BRANDI R SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A, F-AAA
Contact information
Practice address
424 YELLOWSTONE AVE STE 310, CODY, WY 82414
(307) 578-2976
(307) 578-2941
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
(307) 578-2492
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-1006
WY
231H00000X
Audiologist
A1006
WY
231H00000X
Audiologist
AUD 424
CO
Other
Enumeration date
05/02/2007
Last updated
10/05/2020
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