Maryellen Devic, SLP

Speech-Language Pathologist · Jackson, WY

Individual Active NPI

NPI number 1861381188

Practice location

555 E Broadway Ave Ste 100
Jackson, WY 83001-8640
Phone
(307) 739-7491
Fax
(307) 739-1831

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NPI record

NPI
1861381188
Entity type
Individual (Type 1)
Enumeration date
July 1, 2025
Last updated
July 1, 2025
Certified
July 1, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X SP-1405 WY

Mailing address

555b Cache Creek Dr
Jackson, WY 83001-8653
Phone
(716) 997-3566

About Maryellen Devic

Maryellen Devic, SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 555 E Broadway Ave Ste 100, Jackson, WY 83001-8640. The NPI number 1861381188 was assigned on July 1, 2025 and the record was last updated on July 1, 2025.

Maryellen Devic lists a license in the registry: #SP-1405 (WY) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Maryellen Devic, SLP?

The NPI number is 1861381188.

What is the phone number of Maryellen Devic?

The phone number listed for the practice location is (307) 739-7491.

Where is Maryellen Devic located?

555 E Broadway Ave Ste 100, Jackson, WY 83001-8640.

What is the taxonomy code for Maryellen Devic?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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