Provider Demographics
NPI:1437222361
Name:LARAMIE COUNTY SCHOOL DISTRICT 1
Entity Type:Organization
Organization Name:LARAMIE COUNTY SCHOOL DISTRICT 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURLEIGH
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCCA
Authorized Official - Phone:307-771-2130
Mailing Address - Street 1:2810 HOUSE AVENUE
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001
Mailing Address - Country:US
Mailing Address - Phone:307-771-2130
Mailing Address - Fax:307-771-2180
Practice Address - Street 1:2810 HOUSE AVENUE
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001
Practice Address - Country:US
Practice Address - Phone:307-771-2130
Practice Address - Fax:307-771-2180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY938 A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty