Individual
MRS. ELAINE JOYCE GERRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
817 COUNTY ROAD 154, CARPENTER, WY 82054-9531
(307) 286-2586
Mailing address
3119 GRIER BLVD, CHEYENNE, WY 82001-6205
(307) 286-2586
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-412
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09115149
ASHA CLINICAL COMPETENCY CERTIFICATION
—
Enumeration date
09/22/2015
Last updated
09/22/2015
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