Organization
GAY DEITRICH-MACLEAN PC
Active
Other names
Gay Deitrich-MacLean Ph.D. PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN GAY DEITRICH-MACLEAN PH.D. (PRESIDENT)
(307) 755-1982
Entity
Organization
Contact information
Practice address
507 S 4TH ST, SUITE B, LARAMIE, WY 82070-3729
(307) 755-1982
(307) 742-4089
Mailing address
507 S 4TH ST, SUITE B, LARAMIE, WY 82070-3729
(307) 755-1982
(307) 742-4089
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
291
WY
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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