Mann, Randall Wade

Mann, Randall Wade is an sole proprietor health care provider with primary practice located at 3785 Horizon Ave , Cody WY 82414-9728. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Mann, Randall Wade can be contacted via phone (307) 752-2175.

Contact Information

Primary practice address
3785 Horizon Ave Cody WY 82414-9728
Phone: (307) 752-2175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP-967 Wyoming

Profile Details

NPI number 1508555350
LBN Legal business name Mann, Randall Wade
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2023
Last updated May 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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