Lgbtq Telepsychiatry

NPI #1336722859 in Sheridan, Wyoming

Provider Information

NPI Number
1336722859
Entity Type
Organization
Organization Name
Lgbtq Telepsychiatry
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Enumeration Date
May 3, 2021
Last Updated
May 3, 2021

Practice Location

Address
1309 COFFEEN AVE STE 1200
State
Wyoming
ZIP Code
82801-5777
Phone
(888) 985-4287

Authorized Official

Name
JONATHAN SHAW
Title
OWNER
Phone
(888) 985-4287

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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