Summit Psychological Services LLC

NPI #1659672616 in Buffalo, Wyoming

Provider Information

NPI Number: 1659672616
Entity Type: Organization
Organization Name: Summit Psychological Services LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Nov 8, 2010
Last Updated: Nov 8, 2010

Practice Location

Address: 182 N MAIN ST
City: Buffalo
State: Wyoming
ZIP Code: 82834-1727
Phone: (307) 684-9360

Authorized Official

Name: DR. TIMOTHY A BLANEY, PSYD
Title: OWNER
Phone: (307) 684-9360

Specialties & Taxonomy Codes

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

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