Organization
CASPER COMMUNITY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA I GIBSON PH.D. (PRESIDENT)
(307) 277-6132
Entity
Organization
Contact information
Practice address
1522 E A ST, CASPER, WY 82601-2217
(307) 232-6096
(307) 232-6098
Mailing address
1522 E A ST, CASPER, WY 82601-2217
(307) 232-6096
(307) 232-6098
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
447
WY
2084P0800X
Psychiatry Physician
Primary
7660A
WY
Other
Enumeration date
08/04/2011
Last updated
10/04/2011
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