Caroljean Bongo Psyd LLC

NPI #1821297102 in Cheyenne, Wyoming

Provider Information

NPI Number: 1821297102
Entity Type: Organization
Organization Name: Caroljean Bongo Psyd LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jul 16, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 2909 BENT AVE
City: Cheyenne
State: Wyoming
ZIP Code: 82001-2742
Phone: (307) 760-1871

Authorized Official

Name: DR. CAROLJEAN BONGO, PSYD
Title: CLINICAL PSYCHOLOGIST
Phone: (307) 760-1871

Specialties & Taxonomy Codes

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

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