Most Relevant Information
Provider Data
| NPI Number: | 1003247404 |
| Provider Name: | KAREN RICHARD |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SP-614 |
Most Important Dates
| Enumeration Date: | 12/10/2013 |
| Last Updated: | 12/10/2013 |
Provider Practice Location
503 S 18TH ST
LARAMIE
WY
820704303
Practice Location Phone/Fax
| Phone: | 3077423728 |
| Fax: |
Provider Mailing Location
1122 E SULLY ST
LARAMIE
WY
820722822
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |