Individual
BROOKE VARLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1705 HAMILTON ST, DOUGLAS, WY 82633-2781
(307) 359-0352
Mailing address
1705 HAMILTON ST, DOUGLAS, WY 82633-2781
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1115
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14178645
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA)
—
01
—
SP-1115
WYOMING STATE BOARD OF EXAMINERS OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
WY
Enumeration date
05/18/2022
Last updated
05/18/2022
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