Individual
JEANNE MARIE RANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCSLP
Contact information
Practice address
317 N FALER AVE, PROACTIVE PHYSICAL THERAPY PC, PINEDALE, WY 82941
(307) 367-6236
(307) 367-3332
Mailing address
3 E GREEN RIVER ROAD, PINEDALE, WY 82941
(307) 367-2012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP229
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312061
BLUE CROSS BLUE SHIELD
WY
Enumeration date
06/21/2007
Last updated
07/08/2007
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