Individual
HALLIE DENISE LANDRETH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
6900 ALDEN DR, 90 MDG, FE WARREN AFB, WY 82005-3906
(307) 773-2998
(307) 773-4721
Mailing address
6900 ALDEN DR, 90 MDG, FE WARREN AFB, WY 82005-3906
(307) 773-2998
(307) 773-4721
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041743A
IN
Other
Enumeration date
09/20/2005
Last updated
07/08/2007
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