Basic Information
| Provider Information | |||||||||
| NPI: | 1255731949 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOWE | ||||||||
| FirstName: | TRUDY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1401 BEAUFORT ST | ||||||||
| Address2: | |||||||||
| City: | LARAMIE | ||||||||
| State: | WY | ||||||||
| PostalCode: | 820721847 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3074600006 | ||||||||
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| Practice Location | |||||||||
| Address1: | 503 S 18TH ST | ||||||||
| Address2: | |||||||||
| City: | LARAMIE | ||||||||
| State: | WY | ||||||||
| PostalCode: | 820704303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3077423728 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2014 | ||||||||
| LastUpdateDate: | 08/29/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SP-726 | WY | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.