Individual
ELLEN C. TREIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
12 THUNDERBIRD DR, SHERIDAN, WY 82801-8936
(307) 763-3546
Mailing address
12 THUNDERBIRD DR, SHERIDAN, WY 82801-8936
(307) 763-3546
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP4452
AZ
235Z00000X
Speech-Language Pathologist
Primary
SP-499
WY
Other
Enumeration date
05/04/2007
Last updated
11/13/2018
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