| NPI | 1366658601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIBSON B. CONDIE Psychologist 307-754-3860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WY SP03) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2014-10-17 |