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Contact Information

GLORIA D RUTT PSYD PC
2305 COULTER DRIVE
CHEYENNE, WY82009
 Phone: 307-286-4106
 Fax: 307-632-6588
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GLORIA D RUTT PSYD PC

NPI Number 1063504611
LBN Legal business name GLORIA D RUTT PSYD PC
Authorized official GLORIA RUTT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2006
Last updated 09/11/2008 - About 18 years ago
Identifiers
WY License # 422
WY Medicaid 123535400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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