Individual
DR. MELISSA LEEANN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
(307) 233-6089
Mailing address
PO BOX 1710, CASPER, WY 82602-1710
(307) 233-6000
(307) 233-6089
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
503
WY
Other
Enumeration date
05/18/2009
Last updated
09/06/2012
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