| Christa J Vandervort, SP | |
| 1400 Uinta Dr, Green River, WY 82935-5060 | |
| (307) 872-4500 | |
| (307) 872-4595 | 
| Full Name | Christa J Vandervort | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 1400 Uinta Dr, Green River, Wyoming | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215102132 | NPI | - | NPPES | 
| 080042349 | Other | WY | RAILROAD MEDICARE PIN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP080 (Wyoming) | Primary | 
| Provider Name | Castle Rock Special Hospital District | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1740206382 PECOS PAC ID: 2466340138 Enrollment ID: O20040308001445 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Christa J Vandervort, SP 1400 Uinta Dr, Green River, WY 82935-5060 Ph: (307) 872-4500 | Christa J Vandervort, SP 1400 Uinta Dr, Green River, WY 82935-5060 Ph: (307) 872-4500 | 
| Cara Elizabeth Straw, M.S. CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1045 Washakie Ave, Green River, WY 82935 Phone: 307-871-1115 | |
| Estevia Thibeault,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1715 Hitching Post Dr, Green River, WY 82935 Phone: 307-872-3290 | |
| Mrs. Jennifer Ann Brown, M.S. CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 215 Maple Cir, Green River, WY 82935 Phone: 307-871-5732 | |
| Diane Kurth, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1715 Hitching Post Dr, Green River, WY 82935 Phone: 307-872-3290 | |
| Christy Calvey, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1715 Hitching Post Dr, Green River, WY 82935 Phone: 307-872-3290 |