| Suzanne Petren, | |
|
50 Allegiance Cir, Evanston, WY 82930-3804 | |
| (307) 789-3710 | |
| (307) 789-0823 |
| Full Name | Suzanne Petren |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 50 Allegiance Cir, Evanston, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356486245 | NPI | - | NPPES |
| 121776300 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 424 (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Petren, Po Box 6005, Evanston, WY 82931-6005 Ph: (307) 789-3710 | Suzanne Petren, 50 Allegiance Cir, Evanston, WY 82930-3804 Ph: (307) 789-3710 |
Dr. Pamela R Fuller, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 724 Front Street Suite 230, Evanston, WY 82930 Phone: 307-789-6773 Fax: 307-789-3244 | |
Mikaela Bernthaler, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 50 Allegiance Cir, Evanston, WY 82930 Phone: 307-789-3710 Fax: 307-789-0823 | |
Dr. Lauren Silberstein, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 50 Allegiance Cir, Evanston, WY 82930 Phone: 307-789-3710 Fax: 307-789-0823 | |
Adam K Fuller, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 191 Overthrust Rd, Evanston, WY 82930 Phone: 435-631-9918 | |
Candyce Lynn Shields, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 831 State Highway 150 S, Evanston, WY 82930 Phone: 307-789-3464 Fax: 307-789-7373 | |
Dr. Juliet L Jett, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 724 Front Street, Suite 230, Evanston, WY 82930 Phone: 307-789-6773 Fax: 307-789-3244 |