Organization
ABINTRA PSYCHOLOGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA A FAULKNER PH.D. (OWNER)
(307) 684-5828
Entity
Organization
Contact information
Practice address
135 PINE ST STE B, BUFFALO, WY 82834-2332
(307) 684-5828
(307) 684-5803
Mailing address
135 PINE ST STE B, PO BOX 1222, BUFFALO, WY 82834-2332
(307) 684-5828
(307) 684-5803
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
#268
WY
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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