Individual
MRS. DEBBIE LEE CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
115 SOUTH 4TH ST, BASIN, WY 82410
(307) 568-2914
(307) 568-2914
Mailing address
PO BOX 882, 115 SOUTH 4TH ST, BASIN, WY 82410
(307) 568-2914
(307) 568-2914
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP428
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770688871
—
WY
Enumeration date
09/04/2008
Last updated
09/04/2008
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