| Eric Siiteri Phd Llc | |
|
111 S Jefferson St Casper WY 82601-2665 | |
| (970) 495-0707 | |
| (970) 495-6885 |
| Full Name | Eric Siiteri Phd Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 111 S Jefferson St, Casper, Wyoming |
| Authorized Official Name and Position | Chris L Siiteri (BUSINESS MANAGER) |
| Authorized Official Contact | 9704950707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Siiteri Phd Llc Po Box 955 Fort Collins CO 80522-0955 Ph: (970) 495-0707 | Eric Siiteri Phd Llc 111 S Jefferson St Casper WY 82601-2665 Ph: (970) 495-0707 |
| NPI Number | 1932178696 |
|---|---|
| Provider Enumeration Date | 03/15/2006 |
| Last Update Date | 04/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932178696 | NPI | - | NPPES |
| 118233101 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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