Ec Program Six

NPI 1023323219 - Psychologist - 103T00000X

NPI Details
NPI 1023323219
Enumeration Date 08/11/2010
Last Updated 08/11/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MARY ELLEN MARY
Position OWNER/PSYCHOLOGIST
Phone (307) 637-7906
Fax (307) 635-3965
Practice Location
507 E 18TH ST
CHEYENNE WY, 82001-4617, US
Phone (307) 637-7906
Fax (307) 635-3965
Business Location
507 E 18TH ST
CHEYENNE WY, 82001-4617, US
Phone (307) 637-7906
Fax (307) 635-3965
Toxanomy
Taxonomy Code 103T00000X
License State Wyoming
License Number 267
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According to our database, Ec Program Six NPI is 1023323219, taxonomy code is 103T00000X and license number is 267, license state is located at Wyoming. Ec Program Six physically located at 507 E 18th St, Cheyenne WY, 82001-4617. NPI Number 1033115704 has the healthcare provider type.

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1023323219 NPI number is provided on an as is basis without warranty of any kind. 1023323219 is maintained by the National Plan & Provider Enumeration System. The contents of Ec Program Six are for informational purposes only.