Provider Demographics
NPI:1033674056
Name:BARTON, SHELLEY ELAINE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SHELLEY
Middle Name:ELAINE
Last Name:BARTON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF WYOMING SPEECH & HEARING CLINIC
Mailing Address - Street 2:DEPT. 3311, 1000 E. UNIVERSITY AVENUE
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82071-2000
Mailing Address - Country:US
Mailing Address - Phone:307-766-6426
Mailing Address - Fax:307-766-6829
Practice Address - Street 1:UNIVERSITY OF WYOMING SPEECH & HEARING CLINIC
Practice Address - Street 2:DEPT. 3311, 1000 E. UNIVERSITY AVENUE
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82071-2000
Practice Address - Country:US
Practice Address - Phone:307-766-6426
Practice Address - Fax:307-766-6829
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
14036040235Z00000X
WYSP-521235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist