| Equality Connections Pc | |
|
821 W Pershing Blvd Cheyenne WY 82001-2537 | |
| (307) 638-4625 | |
| (307) 635-3965 |
| Full Name | Equality Connections Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 821 W Pershing Blvd, Cheyenne, Wyoming |
| Authorized Official Name and Position | Mary Ellen Sternitzke (PSYCHOLOGIST) |
| Authorized Official Contact | 3076384625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equality Connections Pc 821 W Pershing Blvd Cheyenne WY 82001-2537 Ph: (307) 638-4625 | Equality Connections Pc 821 W Pershing Blvd Cheyenne WY 82001-2537 Ph: (307) 638-4625 |
| NPI Number | 1194741868 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194741868 | NPI | - | NPPES |
| 121793300 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Wyoming) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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