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Organization

DR. MICHAEL BJORNSON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL JONATHAN BJORNSON PH.D. (PSYCHOLOGIST/OWNER)
(307) 702-1234
Entity
Organization

Contact information

Practice address
3240 S POPLAR ST, CASPER, WY 82601-5322
(307) 702-1234
Mailing address
3240 S POPLAR ST, CASPER, WY 82601-5322
(307) 702-1234

Taxonomy

Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
465
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130340600
WY
Enumeration date
10/31/2012
Last updated
10/31/2012
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