Individual
DR. BRETT DEACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1000 E UNIVERSITY AVE, UNIVERSITY OF WYOMING, DEPT. #3415, LARAMIE, WY 82071-2000
(307) 766-3317
(307) 766-2926
Mailing address
1000 E UNIVERSITY AVE, UNIVERSITY OF WYOMING, DEPT. #3415, LARAMIE, WY 82071-2000
(307) 766-3317
(307) 766-2926
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
411
WY
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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