Vivian Gay Deitrich-maclean PH.D.

NPI 1003030511 - Psychologist - 103TC0700X

NPI Details
NPI 1003030511
Gender Female
Enumeration Date 04/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
507 S 4TH ST
SUITE B
LARAMIE WY, 82070-3729, US
Phone (307) 755-1982
Fax (307) 742-4089
Business Location
507 S 4TH ST
SUITE B
LARAMIE WY, 82070-3729, US
Phone (307) 755-1982
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Wyoming
License Number 291
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According to our database, Dr. Vivian Gay Deitrich-maclean PH.D. NPI is 1003030511, taxonomy code is 103TC0700X and license number is 291, license state is located at Wyoming. Vivian Gay Deitrich-maclean PH.D. physically located at 507 S 4th St, Laramie WY, 82070-3729. NPI Number Vivian Gay Deitrich-maclean PH.D. has the Individual type.

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1003030511 NPI number is provided on an as is basis without warranty of any kind. 1003030511 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian Gay Deitrich-maclean PH.D. are for informational purposes only.