Individual
MRS. KARYN ANN LONGSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
523 W 27TH ST, CHEYENNE, WY 82001-3068
(307) 638-9769
(307) 632-3481
Mailing address
523 W 27TH ST, CHEYENNE, WY 82001-3068
(307) 638-9769
(307) 632-3481
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-311
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114827300
—
WY
Enumeration date
10/24/2006
Last updated
01/17/2020
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