Early Intervention Program

Organization Early Intervention Provider Agency · NPI 1831581719

Early Intervention Program is an Early Intervention Provider Agency in Fort Washakie, Wyoming. Licensed in Wyoming. Registered with an NPI since 2015.

Licensed in: WY
In the registry since: 2015

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Practice location Address checks out

9 Shipton Ln
Fort Washakie, WY 82514-0610
Phone: (307) 332-3516
Fax: (307) 332-9116

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary)	Taxonomy 252Y00000X · Licence 129040100 (WY)

Record details

NPI number	1831581719
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Laurene Hines — Assistant Director · (307) 332-3516
NPI enumerated	March 2, 2015
Last updated in NPPES	April 28, 2017
Mailing address	Po Box 610, Fort Washakie, WY 82514-0610