Equality Connections Pc | |
821 W Pershing Blvd Cheyenne WY 82001-2537 | |
(307) 638-4625 | |
(307) 635-3965 |
Full Name | Equality Connections Pc |
---|---|
Speciality | Psychologist - Clinical |
Location | 821 W Pershing Blvd, Cheyenne, Wyoming |
Authorized Official Name and Position | Mary Ellen Sternitzke (PSYCHOLOGIST) |
Authorized Official Contact | 3076384625 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Equality Connections Pc 821 W Pershing Blvd Cheyenne WY 82001-2537 Ph: (307) 638-4625 | Equality Connections Pc 821 W Pershing Blvd Cheyenne WY 82001-2537 Ph: (307) 638-4625 |
NPI Number | 1194741868 |
---|---|
Provider Enumeration Date | 07/14/2006 |
Last Update Date | 08/31/2023 |
Certification Date | 08/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194741868 | NPI | - | NPPES |
121793300 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Wyoming) | Secondary |
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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