Individual
MRS. DONNA K PREVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
177 N 3RD ST, LANDER, WY 82520-2808
(307) 332-7825
Mailing address
7661 STATE HIGHWAY 789, LANDER, WY 82520-9483
(307) 349-2968
(307) 332-5604
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-295
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122901000
—
WY
Enumeration date
01/25/2007
Last updated
08/12/2024
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