Individual
BETH MICHELE HEFENIEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SLP-CCC
Contact information
Practice address
115 S 4TH ST, BASIN, WY 82410-5012
(307) 568-2914
Mailing address
PO BOX 973, WORLAND, WY 82401-0973
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1113
WY
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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