Provider Demographics
NPI:1811228349
Name:SELLAR, BARBARA GAIL (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:GAIL
Last Name:SELLAR
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:PO BOX 462
Mailing Address - Street 2:815 MAIN ST.
Mailing Address - City:DAYTON
Mailing Address - State:WY
Mailing Address - Zip Code:82836-0462
Mailing Address - Country:US
Mailing Address - Phone:307-751-1661
Mailing Address - Fax:
Practice Address - Street 1:1150 MAIN ST.
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:WY
Practice Address - Zip Code:82836
Practice Address - Country:US
Practice Address - Phone:307-655-2206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYSP-120235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist