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Contact Information

LIVING WELL PC
2510 E 15TH ST
SUITE 11
CASPER, WY82609-4111
 Phone: 307-234-9979
 Fax: 307-234-9989
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for LIVING WELL PC · (Female)

NPI Number 1326342023
Status Active
Credentials
Entity Individual
Enumeration date 01/10/2011
Last updated 05/01/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 465
  • WY License # 603
  • WY Medicaid 130674000
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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