| Nicole Rue, Psy.d., Llc | |
|
1115 Maple Way Ste D Jackson WY 83001-8567 | |
| (307) 690-2763 | |
| Not Available |
| Full Name | Nicole Rue, Psy.d., Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1115 Maple Way Ste D, Jackson, Wyoming |
| Authorized Official Name and Position | Nicole Rue (PSYCHOLOGIST) |
| Authorized Official Contact | 3076902763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Rue, Psy.d., Llc Po Box 11891 Jackson WY 83002-1891 Ph: (307) 690-2763 | Nicole Rue, Psy.d., Llc 1115 Maple Way Ste D Jackson WY 83001-8567 Ph: (307) 690-2763 |
| NPI Number | 1295211787 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 07/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295211787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 656 (Wyoming) | Primary |
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