Individual
DR. BRIAN J LIVESAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(208) 761-4712
Mailing address
761 DOGWOOD AVE, CHEYENNE, WY 82009-1029
(208) 761-4712
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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