Snake River Consulting Llc | |
430 Pine Dr Jackson WY 83001-8417 | |
(307) 699-3996 | |
Not Available |
Full Name | Snake River Consulting Llc |
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Speciality | Psychologist |
Location | 430 Pine Dr, Jackson, Wyoming |
Authorized Official Name and Position | Victoria Menghetti Smith (CLINICAL PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 3076993996 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Snake River Consulting Llc Po Box 6398 Jackson WY 83002-6398 Ph: (307) 699-3996 | Snake River Consulting Llc 430 Pine Dr Jackson WY 83001-8417 Ph: (307) 699-3996 |
NPI Number | 1144792169 |
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Provider Enumeration Date | 01/02/2019 |
Last Update Date | 01/02/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144792169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
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