Individual
DR. JOYCE SURDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1277 N 15TH ST, LARAMIE, WY 82072-2343
(307) 742-6222
Mailing address
140 E BROADWAY AVE STE B-13, JACKSON, WY 83001-8632
(307) 690-7870
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
136
WY
Other
Enumeration date
12/15/2009
Last updated
01/04/2016
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