Big Horn Basin Mental Health Group

NPI #1366658601 in Powell, Wyoming

Provider Information

NPI Number: 1366658601
Entity Type: Organization
Organization Name: Big Horn Basin Mental Health Group
Primary Specialty: Psychologist - Clinical
Enumeration Date: May 15, 2007
Last Updated: Oct 17, 2014

Practice Location

Address: 1054 VALI RD
City: Powell
State: Wyoming
ZIP Code: 82435-9259
Phone: (307) 754-3860

Authorized Official

Name: DR. GIBSON B. CONDIE, PH.D.
Title: PSYCHOLOGIST
Phone: (307) 754-3860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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