Individual
DR. RALPH HENRY LOUIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
116 SOUTH 3RD STREET, BASIN, WY 82410
(307) 568-2020
(307) 568-2503
Mailing address
3305 ROAD 27, GREYBULL, WY 82426-9750
(307) 654-2209
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
234
WY
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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