Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Randall Wade Mann, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1508555350

Randall Wade Mann, MSCCC-SLP is a Speech-Language Pathologist in Cody, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2023

Practice location Address checks out

3785 Horizon Ave
Cody, WY 82414-9728
Phone: (307) 752-2175
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP-967 (WY)

Record details

NPI number1508555350
Entity typeIndividual (Type 1)
GenderMale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedMay 5, 2023
Last updated in NPPESMay 5, 2023
Certification dateMay 5, 2023
Mailing address3785 Horizon Ave, Cody, WY 82414-9728

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