Individual
DR. PHILLIP KENT RECTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
BLACK COAL DRIVE, BUILDING 29, FORT WASHAKIE, WY 82514
(307) 332-7300
(307) 332-2949
Mailing address
PO BOX 128, FORT WASHAKIE, WY 82514-0128
(307) 332-7300
(307) 332-2949
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
334
WY
Other
Enumeration date
01/02/2007
Last updated
07/09/2007
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