Individual
DR. CHAITRA WIRTA-LEIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1401 AIRPORT PKWY, SUITE 120, CHEYENNE, WY 82001-1518
(307) 632-7771
Mailing address
1401 AIRPORT PKWY, SUITE 120, CHEYENNE, WY 82001-1518
(307) 632-7771
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
515
WY
103TC0700X
Clinical Psychologist
515
WY
103TC1900X
Counseling Psychologist
515
WY
Other
Enumeration date
06/11/2007
Last updated
04/12/2012
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