NPI 1083032619

Diane Matlock

Practitioner Developmentally Disabled Services Day Training Agency Cheyenne, WY

Practice location

Address: 3149 Green Valley Rd, Cheyenne, WY 82001-6122
Phone: (307) 203-9125

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Wyoming →

Registry record

NPI: 1083032619
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Apr 2014
Record last updated: 1 Apr 2014

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.