MRS. Alexis Theoni Bellack, M.S. CCC-SLP

NPI #1164858288 in Cheyenne, Wyoming

Provider Information

NPI Number
1164858288
Entity Type
Individual
Name
MRS. Alexis Theoni Bellack, M.S. CCC-SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
M.S. CCC-SLP
Enumeration Date
Sep 20, 2013
Last Updated
Sep 20, 2013

Practice Location

Address
5801 YELLOWSTONE RD
State
Wyoming
ZIP Code
82009-4174
Phone
(307) 638-6100

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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