| Casper Community Care, Inc. | |
|
1522 E A St Casper WY 82601-2217 | |
| (307) 232-6096 | |
| (307) 232-6098 |
| Full Name | Casper Community Care, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1522 E A St, Casper, Wyoming |
| Authorized Official Name and Position | Carla I Gibson (PRESIDENT) |
| Authorized Official Contact | 3072776132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casper Community Care, Inc. 1522 E A St Casper WY 82601-2217 Ph: (307) 232-6096 | Casper Community Care, Inc. 1522 E A St Casper WY 82601-2217 Ph: (307) 232-6096 |
| NPI Number | 1356620579 |
|---|---|
| Provider Enumeration Date | 08/04/2011 |
| Last Update Date | 10/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356620579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 447 (Wyoming) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 7660A (Wyoming) | Primary |
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