NPI 1063871002
Shane Roberts
Practice location
- Address
- 1054 Vali Rd, Powell, WY 82435-9259
- Phone
- (307) 254-8129
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1063871002
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Feb 2016
- Record last updated
- 8 Mar 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.