Individual
MRS. DIANE MARIE BRANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
915 S MCKINLEY ST, CASPER, WY 82601-3440
(775) 772-3557
Mailing address
5531 VISTA WAY, CASPER, WY 82601-6908
(775) 772-3557
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-706
WY
Other
Enumeration date
04/22/2009
Last updated
08/14/2014
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