Individual
RUTH ELEANOR FREIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1671 GERONIMO RD, CHEYENNE, WY 82009-7510
(307) 399-0012
Mailing address
3655 RONALD REAGAN AVE, WELLINGTON, CO 80549-2401
(331) 205-8443
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP.0004283
STATE LICENSE FOR SPEECH LANGUAGE PATHOLOGY
CO
01
—
SP-1254
STATE LICENSE FOR SPEECH LANGUAGE PATHOLOGY
WY
Enumeration date
08/29/2018
Last updated
06/13/2023
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