| Teton Psychology Clinic, Llc | |
|
460 South Cache Street Jackson WY 83001 | |
| (307) 690-9836 | |
| (307) 739-4522 |
| Full Name | Teton Psychology Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 460 South Cache Street, Jackson, Wyoming |
| Authorized Official Name and Position | Wendy Elaine Laakmann (DIRECTOR) |
| Authorized Official Contact | 3076909836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teton Psychology Clinic, Llc Po Box 3143 460 South Cache Street Jackson WY 83001-3143 Ph: (307) 690-9836 | Teton Psychology Clinic, Llc 460 South Cache Street Jackson WY 83001 Ph: (307) 690-9836 |
| NPI Number | 1659516318 |
|---|---|
| Provider Enumeration Date | 12/10/2008 |
| Last Update Date | 12/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659516318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 399 (Wyoming) | Primary |
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