BRIAN ALAN DASKIVICH

CHEYENNE, WY
NPI1114254240
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: MT  320)
Enumeration Date2009-11-10
Last Update Date2013-10-06
Business Address
BRIAN ALAN DASKIVICH PH.D.
2360 E PERSHING BLVD
CHEYENNE, WY 82001-5356
Phone number: 307-778-7550
Mailing Address
BRIAN ALAN DASKIVICH PH.D.
PO BOX 22196
CHEYENNE, WY 82003-2118
Phone number:
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