| Gay Deitrich-maclean Ph.d. Pc | |
|
507 S 4th St Suite B Laramie WY 82070-3729 | |
| (307) 755-1982 | |
| (307) 742-4089 |
| Full Name | Gay Deitrich-maclean Ph.d. Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 507 S 4th St, Laramie, Wyoming |
| Authorized Official Name and Position | Vivian Gay Deitrich-maclean (PRESIDENT) |
| Authorized Official Contact | 3077551982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gay Deitrich-maclean Ph.d. Pc 507 S 4th St Suite B Laramie WY 82070-3729 Ph: (307) 755-1982 | Gay Deitrich-maclean Ph.d. Pc 507 S 4th St Suite B Laramie WY 82070-3729 Ph: (307) 755-1982 |
| NPI Number | 1871717306 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871717306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 291 (Wyoming) | Primary |
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