Christa J Vandervort, SP
NPI #1215102132 in Green River, Wyoming
Provider Information
- NPI Number
- 1215102132
- Entity Type
- Individual
- Name
- Christa J Vandervort, SP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SP
- Enumeration Date
- Apr 23, 2008
- Last Updated
- Apr 23, 2008
Practice Location
- Address
- 1400 UINTA DR
- City
- Green River
- State
- Wyoming
- ZIP Code
- 82935-5060
- Phone
- (307) 872-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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