| Wyssmann Psychological & Counseling, Llc | |
|
1949 Sugarland Dr Suite 218 Sheridan WY 82801-5755 | |
| (307) 752-0677 | |
| (307) 674-1825 |
| Full Name | Wyssmann Psychological & Counseling, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1949 Sugarland Dr, Sheridan, Wyoming |
| Authorized Official Name and Position | James W Wyssmann (OWNER) |
| Authorized Official Contact | 3077520677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyssmann Psychological & Counseling, Llc 1949 Sugarland Dr Suite 218 Sheridan WY 82801-5755 Ph: (307) 752-0677 | Wyssmann Psychological & Counseling, Llc 1949 Sugarland Dr Suite 218 Sheridan WY 82801-5755 Ph: (307) 752-0677 |
| NPI Number | 1619214475 |
|---|---|
| Provider Enumeration Date | 01/13/2013 |
| Last Update Date | 01/13/2013 |
| Medicare PECOS PAC ID | 5890008692 |
|---|---|
| Medicare Enrollment ID | O20150723006798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619214475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 881 (Wyoming) | Secondary |
| 103TC1900X | Psychologist - Counseling | 403 (Wyoming) | Primary |
| Provider Name | James W Wyssmann |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1063695419 PECOS PAC ID: 2961715776 Enrollment ID: I20150723007041 |
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