Organization
ERIC SIITERI PHD LLC
Active
Organization
ERIC SIITERI PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRIS L SIITERI (BUSINESS MANAGER)
(970) 495-0707
Entity
Organization
Contact information
Practice address
111 S JEFFERSON ST, CASPER, WY 82601-2665
(970) 495-0707
(970) 495-6885
Mailing address
PO BOX 955, FORT COLLINS, CO 80522-0955
(970) 495-0707
(970) 495-6885
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118233101
—
WY
Enumeration date
03/15/2006
Last updated
04/19/2018
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