Caroljean Bongo, PSYD

NPI #1134220189 in Cheyenne, Wyoming

Provider Information

NPI Number: 1134220189
Entity Type: Individual
Name: Caroljean Bongo, PSYD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Sep 25, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 2909 BENT AVE
City: Cheyenne
State: Wyoming
ZIP Code: 82001-2742
Phone: (307) 760-1871

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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