Individual
TAMMY FAUSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP/L
Contact information
Practice address
1105 APPLEWOOD DRIVE, ROCK SPRINGS, WY 82901
(307) 371-4160
Mailing address
1105 APPLEWOOD DR, ROCK SPRINGS, WY 82901-4649
(307) 371-4160
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-416
WY
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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