NPI 1164858288

Alexis Theoni Bellack, MSCCCSLP

Practitioner Speech-Language Pathologist Cheyenne, WY

Practice location

Address: 5801 Yellowstone Rd, Cheyenne, WY 82009-4174
Phone: (307) 638-6100
Mailing address: 935 New Bedford Dr, Cheyenne, WY 82009-2810

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SP-538 (WY)

Other Speech-Language Pathologist providers in Wyoming →

Registry record

NPI: 1164858288
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2013
Record last updated: 20 Sep 2013

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.