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Contact Information

WYOMING PSYCHIATRY, LLC
301 S FENWAY ST
SUITE 201
CASPER, WY82601-3051
 Phone: 307-215-9870
 Fax: 307-333-0389
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

207LA0401X 05 Physician/Anesthesiology
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for WYOMING PSYCHIATRY LLC · (Female)

NPI Number 1861935165
Status Active
Credentials
Entity Individual
Enumeration date 11/18/2016
Last updated 11/18/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 9017A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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