Flom, Mary Ann
Flom, Mary Ann is an individual health care provider with primary practice located at 1202 E Jackson Ave , Riverton WY 82501-3866. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Flom, Mary Ann can be contacted via phone (307) 856-4337.Contact Information
Primary practice address
1202 E Jackson Ave
Riverton WY 82501-3866
Phone: (307) 856-4337
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP016 | Wyoming |
Profile Details
| NPI number | 1104352574 |
|---|---|
| LBN Legal business name | Flom, Mary Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2017 |
| Last updated | May 4th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104352574 | NPPES |
| Wyoming | Other | SP016 | SPEECH LICENSE |
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