Psychology Clinic PC

NPI #1225257215 in Laramie, Wyoming

Provider Information

NPI Number: 1225257215
Entity Type: Organization
Organization Name: Psychology Clinic PC
Primary Specialty: Psychologist
Enumeration Date: Apr 25, 2007
Last Updated: Mar 17, 2008

Practice Location

Address: 217 S 1ST STREET
City: Laramie
State: Wyoming
ZIP Code: 82070
Phone: (307) 755-1000

Authorized Official

Name: DR. CHARLES W DENISON, PH.D.
Title: PSYCHOLOGIST PRESIDENT
Phone: (307) 755-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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