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Organization

PSYCHOLOGY CLINIC PC

Active
Other names
The Psychology Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES W DENISON PH.D. (PSYCHOLOGIST PRESIDENT)
(307) 755-1000
Entity
Organization

Contact information

Practice address
217 S 1ST STREET, LARAMIE, WY 82070
(307) 755-1000
(307) 755-9712
Mailing address
217 S 1ST STREET, LARAMIE, WY 82070
(307) 755-1000
(307) 755-9712

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
276
WY

Other

Enumeration date
04/25/2007
Last updated
03/17/2008
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