Cornerstone Programs

NPI 1164850699 - Psychologist - 103TP2701X

NPI Details
NPI 1164850699
Enumeration Date 10/18/2013
Last Updated 10/18/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name EARL EARL
Position CLINICAL DIRECTOR
Phone (307) 514-5592
Fax (307) 514-5593
Practice Location
3116 OLD FAITHFUL RD
SUITE 200
CHEYENNE WY, 82001-5892, US
Phone (307) 514-5592
Fax (307) 514-5593
Business Location
3116 OLD FAITHFUL RD
SUITE 200
CHEYENNE WY, 82001-5892, US
Phone (307) 514-5592
Fax (307) 514-5593
Toxanomy
Taxonomy Code 103TP2701X
License State Wyoming
License Number 419
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According to our database, Cornerstone Programs NPI is 1164850699, taxonomy code is 103TP2701X and license number is 419, license state is located at Wyoming. Cornerstone Programs physically located at 3116 Old Faithful Rd, Cheyenne WY, 82001-5892. NPI Number 1033115704 has the healthcare provider type.

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1164850699 NPI number is provided on an as is basis without warranty of any kind. 1164850699 is maintained by the National Plan & Provider Enumeration System. The contents of Cornerstone Programs are for informational purposes only.