Individual
BRYAN DAVID PELTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
125 FOX HILLS DR, GREEN RIVER, WY 82935-7100
(307) 871-1615
Mailing address
125 FOX HILLS DR, GREEN RIVER, WY 82935-7100
(307) 871-1615
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
290
WY
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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