Vivian Gay Deitrich-Maclea in Laramie - Clinical

Vivian Gay Deitrich-Maclea - NPI 1003030511

Vivian Gay Deitrich-Maclea is a Clinical in Laramie, . Vivian Gay Deitrich-Maclea practices all healthcare services and medical treatments related to Clinical. The NPI Number for Vivian Gay Deitrich-Maclea is 1003030511. The last update date is 2007-07-08.

Vivian Gay Deitrich-Maclea's current location address is 507 S 4th St, Laramie, . You can contact this provider via phone number 3077551982. The mailing address for Vivian Gay Deitrich-Maclea is 507 S 4th St, Laramie, . To know further, please read the information below!

Provider Profile Detail

Provider Name Vivian Gay Deitrich-Maclea
Address 507 S 4th St, Laramie,
Phone Number 3077551982
Fax Number
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1003030511
Provider Enumeration Date 2007-04-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 507 S 4th St
City Laramie
State (WY)
Post Code 820703729
Phone Number 3077551982
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 291
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
119587500 WY --

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FAQs about Vivian Gay Deitrich-Maclea

What is the unique 10-digit identification code issued to Vivian Gay Deitrich-Maclea by the Centers for Medicare & Medicaid Services?

The Vivian Gay Deitrich-Maclea has been assigned the NPI (National Provider Identifier) 1003030511 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Vivian Gay Deitrich-Maclea's facilities are situated?

The facilities of Vivian Gay Deitrich-Maclea are physically located at the following address: 507 S 4Th St, Laramie, WY, 820703729.

What is the area of specialization for Vivian Gay Deitrich-Maclea, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Vivian Gay Deitrich-Maclea is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.

When did Vivian Gay Deitrich-Maclea receive its 1003030511 assignment?

The Vivian Gay Deitrich-Maclea was assigned its 1003030511 on 2007-04-13, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Vivian Gay Deitrich-Maclea, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Vivian Gay Deitrich-Maclea, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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