| NPI | 1972840379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA BETH GOLDENSOHN Licensed Psychologist 307-733-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TF0000X Psychologist, Family | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |