| High Plains Psychological Assessment Center, Llc | |
|
1920 Thomes Ave Ste 500 Cheyenne WY 82001-3547 | |
| (307) 640-7720 | |
| (307) 464-3108 |
| Full Name | High Plains Psychological Assessment Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1920 Thomes Ave Ste 500, Cheyenne, Wyoming |
| Authorized Official Name and Position | Jennifer Barth (OWNER) |
| Authorized Official Contact | 3076407720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| High Plains Psychological Assessment Center, Llc 109 E 17th St Ste 5539 Cheyenne WY 82001-4543 Ph: (720) 900-5272 | High Plains Psychological Assessment Center, Llc 1920 Thomes Ave Ste 500 Cheyenne WY 82001-3547 Ph: (307) 640-7720 |
| NPI Number | 1770076614 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 03/16/2020 |
| Certification Date | 03/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770076614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 658 (Wyoming) | Primary |
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