Organization
KELLY PETRINO, PSYD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY PETRINO PSYD (PSYCHOLOGIST/OWNER)
(307) 460-0781
Entity
Organization
Contact information
Practice address
507 S 4TH ST, LARAMIE, WY 82070-3753
(307) 460-0781
(307) 742-4089
Mailing address
507 S 4TH ST, LARAMIE, WY 82070-3753
(307) 460-0781
(307) 742-4089
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
505
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151943
—
WY
Enumeration date
04/07/2015
Last updated
04/07/2015
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