Provider Demographics
NPI:1245564665
Name:STRAW, CARA ELIZABETH (MS CCC/SLP)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:ELIZABETH
Last Name:STRAW
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:ELIZABETH
Other - Last Name:HOFELDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC/SLP
Mailing Address - Street 1:1045 WASHAKIE AVE
Mailing Address - Street 2:
Mailing Address - City:GREEN RIVER
Mailing Address - State:WY
Mailing Address - Zip Code:82935-5307
Mailing Address - Country:US
Mailing Address - Phone:307-871-1115
Mailing Address - Fax:
Practice Address - Street 1:1045 WASHAKIE AVE
Practice Address - Street 2:
Practice Address - City:GREEN RIVER
Practice Address - State:WY
Practice Address - Zip Code:82935-5307
Practice Address - Country:US
Practice Address - Phone:307-871-1115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist