Mrs Victoria R Wallace Bates, MS-CCC/SLP - Speech-Language Pathologist in Teton Village, WY

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Mrs Victoria R Wallace Bates, MS-CCC/SLP is a Speech-language Pathologist based in Teton Village, Wyoming. Mrs Victoria R Wallace Bates is licensed to practice in Wyoming (license number SP-126) and her current practice location is 3850 N. Wilderness Dr., Teton Village, Wyoming. She can be reached at her office (for appointments etc.) via phone at (307) 733-8210.

NPI number for Mrs Victoria R Wallace Bates is 1376896092 and her current mailing address is P.o. Box 240, Wilson, Wyoming. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376896092.

Contact Information

Mrs Victoria R Wallace Bates, MS-CCC/SLP
3850 N. Wilderness Dr.,
Teton Village, WY 83025
(307) 733-8210
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Victoria R Wallace Bates
GenderFemale
SpecialitySpeech-language Pathologist
Location3850 N. Wilderness Dr., Teton Village, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376896092
  • Provider Enumeration Date: 10/18/2012
  • Last Update Date: 10/18/2012

Medical Identifiers

Medical identifiers for Mrs Victoria R Wallace Bates such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376896092NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SP-126 (Wyoming)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Victoria R Wallace Bates is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Victoria R Wallace Bates, MS-CCC/SLP
P.o. Box 240,
Wilson, WY 83014

Ph: (307) 733-8210		Mrs Victoria R Wallace Bates, MS-CCC/SLP
3850 N. Wilderness Dr.,
Teton Village, WY 83025

Ph: (307) 733-8210

Reviews and Comments


Speech-Language Pathologist in Teton Village, WY


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