Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740972652 Individual Practitioner Female Practitioner

Bethany Self , MS, CCC-SLP

Speech-Language Pathologist • Cheyenne, WY

Professional Overview & Biography Verified Profile Summary

Bethany Self, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Cheyenne, WY. Practice services are available at 1215 E FOX FARM RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1215 E Fox Farm Rd

Cheyenne, WY 820072556

Telephone 3077635587

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Cheyenne, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
44 Specialists

Practicing in Cheyenne, WY (331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CO SLP.0005100

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License WY SP-1270

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Grace Mcconnell

Occupational Therapist

NPI 1144146655
Dr. Kacie Pugel , PT, DPT

Physical Therapist

NPI 1285179994

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 08, 2023

Registered at 1215 E FOX FARM RD, CHEYENNE, WY 820072556 (Tel: 3077635587)

📍
Updated Business Mailing Address October 08, 2023

Registered at 309 SYCAMORE AVE, EATON, CO 806159069

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2023

Speech-Language Pathologist (License #SP-1270 in WY)

NPI Profile Active May 22, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2023

Registered at 1671 GERONIMO RD, CHEYENNE, WY 820097510 (Tel: 3077635587)

📍
Updated Business Mailing Address May 22, 2023

Registered at 420 CHERRY AVE, EATON, CO 806153674

👤
Provider Name / Credentials Updated May 22, 2023

Recorded as BETHANY SELF, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2023

Speech-Language Pathologist (License #SLP.0005100 in CO)

🟢
Initial NPI Registration & Enumeration May 22, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740972652
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2023
Last Update: October 08, 2023
Sole Proprietor: No

Mailing Address

309 Sycamore Ave

Eaton, CO 806159069

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.