NPI | 1871717306 |
---|---|
Doing Business As | GAY DEITRICH-MACLEAN PH.D. PC |
Entity Type | Organization |
Authorized Contact | VIVIAN GAY DEITRICH-MACLEAN President 307-755-1982 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WY 291) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2020-08-22 |