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BETHANY SELF M.S., CCC-SLP
NPI 1740972652
Speech-Language Pathologist in Cheyenne, WY

Active since May 22, 2023
1215 E FOX FARM RD, CHEYENNE, WY 82007(307) 763-5587 Get Directions Write a Review

NPPES record last updated: October 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2023, May 22, 2023 (2 updates tracked since 2023).

About Bethany Self M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY SELF M.S., CCC-SLP (NPI 1740972652) is an individual speech-language pathologist provider in Cheyenne, Wyoming, licensed in Colorado (SLP.0005100) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1740972652
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameBETHANY SELFCredential: M.S., CCC-SLP
Location Address1215 E FOX FARM RDCheyenne, WY 82007-2556
Mailing Address309 Sycamore AveEaton, CO 80615-9069
Phone(307) 763-5587
Sole ProprietorNo
Enumeration DateMay 22, 2023
Last NPPES UpdateOctober 8, 20232 updates tracked since enumeration
NPPES CertifiedMay 29, 2023
✔ NPI 1740972652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in CO · SLP.0005100✔ Licensed in WY · SP-1270
Definition
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.
1215 E FOX FARM RD, Cheyenne, WY 82007
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Other Names 1

Former Name (1)Bethany Malm M.s.ccc-slp

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE MCCONNELL
Occupational Therapist
1215 E FOX FARM RD
CHEYENNE, WY 82007
Laramie County (970) 420-2839
KACIE R PUGEL PT, DPT
Physical Therapist
1215 E FOX FARM RD
CHEYENNE, WY 82007
Laramie County (307) 635-2900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Self's NPI number?

The NPI number for Bethany Self is 1740972652. It was assigned to this individual provider in the NPPES registry on May 22, 2023. The provider is also known as Bethany Malm M.S.Ccc-Slp.

Where is Bethany Self located?

Bethany Self practices at 1215 E Fox Farm Rd, Cheyenne, WY 82007. The listed phone number is (307) 763-5587.

What is Bethany Self's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Bethany Self was last updated on October 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.