IndividualActive
Diane Matlock
NPI 1083032619 · Developmentally Disabled Services Day Training Agency · Cheyenne, WY
Provider details
- NPI number
- 1083032619
- Entity type
- Individual
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
3149 Green Valley Rd
Cheyenne, WY 82001-6122
Phone: (307) 203-9125
Approximate (ZIP-level) locationGet directions
Mailing address
3149 Green Valley Rd
Cheyenne, WY 82001-6122
Registry dates
- Enumerated
- 2014-04-01
- Last updated
- 2014-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.