Organization
BIG HORN PSYCHOLOGICAL SERVICES LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA A CLARK PSYD (LICENSED PSYCHOLOGIST)
(307) 675-1805
Entity
Organization
Contact information
Practice address
339 W LOUCKS ST, SHERIDAN, WY 82801-4121
(307) 675-1805
Mailing address
PO BOX 1035, SHERIDAN, WY 82801-1035
(307) 675-1805
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/30/2009
Last updated
07/08/2024
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