Provider Demographics
NPI:1821269226
Name:PRICE, REBECCA A (AUD, F-AAA)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:A
Last Name:PRICE
Suffix:
Gender:F
Credentials:AUD, F-AAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 W TETON BLVD
Mailing Address - Street 2:
Mailing Address - City:GREEN RIVER
Mailing Address - State:WY
Mailing Address - Zip Code:82935-6040
Mailing Address - Country:US
Mailing Address - Phone:307-875-1460
Mailing Address - Fax:307-875-1586
Practice Address - Street 1:2180 W TETON BLVD
Practice Address - Street 2:
Practice Address - City:GREEN RIVER
Practice Address - State:WY
Practice Address - Zip Code:82935-6040
Practice Address - Country:US
Practice Address - Phone:307-875-1460
Practice Address - Fax:307-875-1586
Is Sole Proprietor?:No
Enumeration Date:2008-03-13
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYA-977231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist