Provider Demographics
NPI:1447609193
Name:MEHLE, LIBBY (AUD)
Entity Type:Individual
Prefix:
First Name:LIBBY
Middle Name:
Last Name:MEHLE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:LIBBY
Other - Middle Name:
Other - Last Name:EVERTSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1208 HILLTOP DR STE 105
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-5858
Mailing Address - Country:US
Mailing Address - Phone:307-371-0789
Mailing Address - Fax:307-343-8148
Practice Address - Street 1:1208 HILLTOP DR STE 105
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-5858
Practice Address - Country:US
Practice Address - Phone:307-522-5410
Practice Address - Fax:307-343-8148
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist