Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bethany Self, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1740972652

Bethany Self, MS, CCC-SLP is a Speech-Language Pathologist in Cheyenne, Wyoming. Licensed in Colorado and Wyoming. Registered with an NPI since 2023.

Licensed in
CO, WY
In the registry since
2023
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1215 E Fox Farm Rd
Cheyenne, WY 82007-2556
Phone: (307) 763-5587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP.0005100 (CO)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SP-1270 (WY)

Record details

NPI number1740972652
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESOctober 8, 2023
Certification dateMay 29, 2023
Mailing address309 Sycamore Ave, Eaton, CO 80615-9069

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