| NPI | 1538588645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA ANN LOVERCHECK Partner 307-534-5582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WY WY 386) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WY LCSW-514) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |