Winds Of Change Psychological Services Pc

NPI 1588785190 - Psychologist - 103T00000X

NPI Details
NPI 1588785190
Enumeration Date 04/02/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRIAN BRIAN
Position PRESIDENT
Phone (307) 432-4007
Fax
Practice Location
109 E 17TH ST
SUITE 35
CHEYENNE WY, 82001-4543, US
Phone (307) 432-4007
Fax
Business Location
109 E 17TH ST
SUITE 35
CHEYENNE WY, 82001-4543, US
Phone (307) 432-4007
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Wyoming
License Number 439
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According to our database, Winds Of Change Psychological Services Pc NPI is 1588785190, taxonomy code is 103T00000X and license number is 439, license state is located at Wyoming. Winds Of Change Psychological Services Pc physically located at 109 E 17th St, Cheyenne WY, 82001-4543. NPI Number 1033115704 has the healthcare provider type.

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1588785190 NPI number is provided on an as is basis without warranty of any kind. 1588785190 is maintained by the National Plan & Provider Enumeration System. The contents of Winds Of Change Psychological Services Pc are for informational purposes only.