| University Of Wyoming - Wyoming Institute For Disabilities | |
|
1000 E University Ave University Of Wyoming, Dept. 4298 Laramie WY 82071-2000 | |
| (307) 766-2761 | |
| (307) 766-2763 |
| Full Name | University Of Wyoming - Wyoming Institute For Disabilities |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1000 E University Ave, Laramie, Wyoming |
| Authorized Official Name and Position | William E Maclean (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3077662761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Wyoming - Wyoming Institute For Disabilities 1000 E University Ave University Of Wyoming, Dept. 4298 Laramie WY 82071-2000 Ph: (307) 766-2761 | University Of Wyoming - Wyoming Institute For Disabilities 1000 E University Ave University Of Wyoming, Dept. 4298 Laramie WY 82071-2000 Ph: (307) 766-2761 |
| NPI Number | 1154622355 |
|---|---|
| Provider Enumeration Date | 11/04/2010 |
| Last Update Date | 11/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154622355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 287 (Wyoming) | Primary |
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