Provider Demographics
NPI:1750766945
Name:MANDI BELDING
Entity type:Organization
Organization Name:MANDI BELDING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MANDI
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:BELDING
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:307-840-3922
Mailing Address - Street 1:676 SUMNER ST
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-5152
Mailing Address - Country:US
Mailing Address - Phone:307-840-3922
Mailing Address - Fax:
Practice Address - Street 1:676 SUMNER ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-5152
Practice Address - Country:US
Practice Address - Phone:307-840-3922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYSP-749261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech