IndividualActive
Bethany Self, M.S., CCC-SLP
NPI 1740972652 · Speech-Language Pathologist · Cheyenne, WY
Provider details
- NPI number
- 1740972652
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SP-1270 (WY)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Practice location
1215 E Fox Farm Rd
Cheyenne, WY 82007-2556
Phone: (307) 763-5587
Approximate (ZIP-level) locationGet directions
Mailing address
309 Sycamore Ave
Eaton, CO 80615-9069
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2023-10-08
- Certified
- 2023-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.