Longstreet, Karyn Ann
Longstreet, Karyn Ann is an sole proprietor health care provider with primary practice located at 523 W 27Th St , Cheyenne WY 82001-3068. 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. Longstreet, Karyn Ann can be contacted via phone (307) 638-9769.Contact Information
Primary practice address
523 W 27Th St
Cheyenne WY 82001-3068
Phone: (307) 638-9769
Fax: (307) 632-3481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP-311 | Wyoming |
Profile Details
| NPI number | 1477636074 |
|---|---|
| LBN Legal business name | Longstreet, Karyn Ann |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jan 17th, 2020 - about 6 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 | 1477636074 | NPPES |
| Wyoming | MEDICAID | 114827300 |
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