Individual
JAMES WILLIAM WYSSMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1949 SUGARLAND DR STE 218, SHERIDAN, WY 82801-5765
(307) 752-0677
(307) 674-1825
Mailing address
PO BOX 6692, SHERIDAN, WY 82801
(307) 752-0677
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
403
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125548700
—
WY
Enumeration date
12/07/2007
Last updated
02/08/2021
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