| Snowy Range Consulting, Llc | |
|
526 Regency Dr Laramie WY 82070-5106 | |
| (307) 745-5414 | |
| (307) 745-5138 |
| Full Name | Snowy Range Consulting, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 526 Regency Dr, Laramie, Wyoming |
| Authorized Official Name and Position | Mark Joseph Watt (PSYCHOLOGIST) |
| Authorized Official Contact | 3077455414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Snowy Range Consulting, Llc 526 Regency Dr Laramie WY 82070-5106 Ph: (307) 745-5414 | Snowy Range Consulting, Llc 526 Regency Dr Laramie WY 82070-5106 Ph: (307) 745-5414 |
| NPI Number | 1922596196 |
|---|---|
| Provider Enumeration Date | 04/24/2018 |
| Last Update Date | 04/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922596196 | NPI | - | NPPES |
| 115175 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 199 (Wyoming) | Primary |
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