Most Relevant Information
Provider Data
| NPI Number: | 1003332750 |
| Provider Name: | MICHELLE LEANNE COULTER M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SP-586 |
Most Important Dates
| Enumeration Date: | 08/15/2017 |
| Last Updated: | 08/15/2017 |
Provider Practice Location
1771 CENTENNIAL DRIVE
LARAMIE
WY
820708404
Practice Location Phone/Fax
| Phone: | 3077423571 |
| Fax: |
Provider Mailing Location
1771 CENTENNIAL DRIVE
LARAMIE
WY
820708404
Provider Mailing Phone/Fax
| Phone: | 3077423571 |
| Fax: |