MS. LORI DIANE BRASEL


Address: 1202 E Jackson Ave, Riverton, WY 82501-3866
Phone: 3078564337

MS. LORI DIANE BRASEL (NPI# 1841423258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841423258
Entity Type Individual
Full Name MS. LORI DIANE BRASEL
Credential M.S., CCC-SLP
Practice Address 1202 E Jackson Ave
Riverton
WY 82501-3866
Mailing Address 117 Smith St
Lander
WY 82520-2643
Practice Telephone 3078564337
Mailing Telephone (918) 237-6067
Enumeration Date 2009-09-01
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 2668 OK Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WY STATE LICENSE SP-891 01
OK STATE OF OKLAHOMA BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLO 2668 01
AMERICAN SPEECH-LANGUAGE AND HEARING ASSOCIATION 09135452 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
17002 S 87th East Ave, Bixby, OK 740086109 9182376067

Office Location

Street Address 1202 E JACKSON AVE
City RIVERTON
State WY
Zip Code 82501-3866

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790398741 Devin Szymanski Speech-Language Pathologist 1202 E Jackson Ave, Riverton, WY 82501-3866 2020-08-28
1053958637 Kelly Yuhnke Occupational Therapist 1202 E Jackson Ave, Riverton, WY 82501-3866 2019-12-03
1063992717 Christina Noel Coughanour Speech-Language Pathologist 1202 E Jackson Ave, Riverton, WY 82501-3866 2018-08-21
1104352574 Mary Ann Flom Speech-Language Pathologist 1202 E Jackson Ave, Riverton, WY 82501-3866 2017-05-04
1306377395 Brenda Jo Walker Occupational Therapist 1202 E Jackson Ave, Riverton, WY 82501-3866 2017-03-22
1457882441 Jolene Samuelson Speech-Language Pathologist 1202 E Jackson Ave, Riverton, WY 82501-3866 2017-03-22
1770722944 Tiffany L Bader Occupational Therapist 1202 E Jackson Ave, Riverton, WY 82501-3866 2009-02-11
1194981746 Patricia Ann Stoehr Counselor 1202 E Jackson Ave, Riverton, WY 82501-3866 2008-08-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366914889 Community Health Center of Central Wyoming Inc Clinic/Center 704 Fremont Ave, Riverton, WY 82501 2018-12-21
1699292391 Wind River Cares Riverton Clinic/Center 511 North 12 Street East, Riverton, WY 82501 2017-08-24
1801242268 Jessika Ruth Waldron Case Manager/Care Coordinator 1519 1/2 E Pershing, Riverton, WY 82501 2016-05-04
1467815498 Orren P Janis Sr. Community Health Worker 10369 Highway 789, 10369 Hwy 789, Riverton, WY 82501 2016-03-29
1194186320 Amanda R Vroman Counselor 10269 Hwy 789, Riverton, WY 82501 2016-03-16
1770944902 William Nolan Sage Counselor 10269 Hwy. 789, Riverton, WY 82501 2016-03-16
1962806331 Moss Dentistry Dentist 203 E Main Street, Suite 205, Riverton, WY 82501 2014-10-14
1215339957 Jordan Hays Registered Nurse 11855 Us Highway 26, Riverton, WY 82501 2014-09-25
1538584750 Michaela R Sisneros Nursing Care 2890 Cooper Rd, Riverton, WY 82501 2014-02-25
1487089843 Olivia P Washington Registered Nurse 43 Goes In Lodge Road, Riverton, WY 82501 2013-09-04
Find all providers in zip 82501

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558894394 Jamie Todd Speech-Language Pathologist 12429 S 2075 W, Riverton, UT 84065-4353 2017-04-08
1477840676 Daren Ballard Speech-Language Pathologist 12237 Grassland Ct, Riverton, UT 84065-3167 2011-07-08
1578896742 Jennifer K Vincent Speech-Language Pathologist 313 N 5th St E, Riverton, WY 82501-3612 2009-09-04
1376777094 Jacqueline Rae Harris Speech-Language Pathologist 12441 Highway 26, Riverton, WY 82501-9256 2009-05-09
1770732463 Maureen Fay Osborne Speech-Language Pathologist 266 Paradise Valley Rd, Riverton, WY 82501-9703 2008-09-17
1508052325 Lane Entrekin Speech-Language Pathologist 13762 S 3160 W, Riverton, UT 84065-5901 2007-09-16
1861537599 Deborah Ann Ferry Speech-Language Pathologist 7 Brook Ln, Riverton, IL 62561-8003 2007-02-20
1790398741 Devin Szymanski Speech-Language Pathologist 1202 E Jackson Ave, Riverton, WY 82501-3866 2020-08-28
1427692912 Tracy Elkington Speech-Language Pathologist 3419 W 12600 S, Riverton, UT 84065-7265 2019-10-29
1366902306 Megan Nalder Speech-Language Pathologist 3741 W 12600 S, Riverton, UT 84065-7215 2019-03-25
Find all providers in RIVERTON

Competitor

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City RIVERTON
Zip Code 82501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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