Individual
CATHY BUCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
831 STATE HIGHWAY 150 S, EVANSTON, WY 82930-5340
(307) 789-3464
(307) 789-7373
Mailing address
831 STATE HIGHWAY 150 S, EVANSTON, WY 82930-5340
(307) 789-3464
(307) 789-7373
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
362
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
362
WYOMING LICENSE
WY
Enumeration date
02/26/2007
Last updated
07/08/2007
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