| NPI | 1801913868 |
|---|---|
| Doing Business As | PIEDMONT PSYCHOLOGICAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SHAWNA FOX Office Manager 307-672-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-02-13 |