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NPI Code Detail

MEDICARE: MISS CONNIE KAY STRAYER MSW

MEDICARE: MISS CONNIE KAY STRAYER MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker74WY
2106H00000XMarriage & Family Therapist09WY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1307577OTHERWYBS

General Provider Information

NPI Number : 1366440471
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CONNIE KAY STRAYER MSW
Provider Business Mailing Address
First Line : 1954 W MARIPOSA PKWY
Second Line :
City : WHEATLAND
State : WY
Zip : 82201-3102
Country : US
Telephone Number : 307-322-3190
Fax Number :
Provider Business Practice Location Address
First Line : 1954 W MARIPOSA PKWY
Second Line :
City : WHEATLAND
State : WY
Zip : 82201-3102
Country : US
Telephone Number : 307-322-3190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 09/10/2015

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Directions to “ MISS CONNIE KAY STRAYER MSW” Practice Location

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