High Desert Psychology and Wellness

NPI #1194226266 in Evanston, Wyoming

Provider Information

NPI Number: 1194226266
Entity Type: Organization
Organization Name: High Desert Psychology and Wellness
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 23, 2018
Last Updated: Mar 17, 2018

Practice Location

Address: 191 OVERTHRUST RD
City: Evanston
State: Wyoming
ZIP Code: 82930-9261
Phone: (435) 631-9918

Authorized Official

Name: DR. ADAM K FULLER, PH.D.
Title: PRESIDENT/CEO/CLINICAL DIRECTOR
Phone: (435) 631-9918

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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