Christa J Vandervort, SP | |
1400 Uinta Dr, Green River, WY 82935-5060 | |
(307) 872-4500 | |
(307) 872-4595 |
Full Name | Christa J Vandervort |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1400 Uinta Dr, Green River, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215102132 | NPI | - | NPPES |
080042349 | Other | WY | RAILROAD MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SP080 (Wyoming) | Primary |
Provider Name | Castle Rock Special Hospital District |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740206382 PECOS PAC ID: 2466340138 Enrollment ID: O20040308001445 |
Mailing Address | Practice Location Address |
---|---|
Christa J Vandervort, SP 1400 Uinta Dr, Green River, WY 82935-5060 Ph: (307) 872-4500 | Christa J Vandervort, SP 1400 Uinta Dr, Green River, WY 82935-5060 Ph: (307) 872-4500 |
Cara Elizabeth Straw, M.S. CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1045 Washakie Ave, Green River, WY 82935 Phone: 307-871-1115 | |
Estevia Thibeault, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1715 Hitching Post Dr, Green River, WY 82935 Phone: 307-872-3290 | |
Mrs. Jennifer Ann Brown, M.S. CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 215 Maple Cir, Green River, WY 82935 Phone: 307-871-5732 | |
Diane Kurth, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1715 Hitching Post Dr, Green River, WY 82935 Phone: 307-872-3290 | |
Christy Calvey, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1715 Hitching Post Dr, Green River, WY 82935 Phone: 307-872-3290 |