Organization Name: | SUNLIGHT SPEECH & LANGUAGE SERVICES, INC. |
NPI Number: | 1740315647 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN K. NANNENGA (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 556 Road 2ab Cody |
State: | WY US |
Postal Code: | 824148217 |
Phone Number: | 3075874115 |
Fax Number: | 3075874115 |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |