Rehabilitation Enterprises Of Northeastern Wyoming in Sheridan - Clinical
Rehabilitation Enterprises Of Northeastern Wyoming - NPI 1689716227
Rehabilitation Enterprises Of Northeastern Wyoming is a Clinical in Sheridan, . Rehabilitation Enterprises Of Northeastern Wyoming practices all healthcare services and medical treatments related to Clinical. The NPI Number for Rehabilitation Enterprises Of Northeastern Wyoming is 1689716227. The last update date is 2020-08-22.
Rehabilitation Enterprises Of Northeastern Wyoming's current location address is 1969 S Sheridan Ave, Sheridan, . You can contact this provider via phone number 3076727481 and fax number 3076745117. The mailing address for Rehabilitation Enterprises Of Northeastern Wyoming is 1969 S Sheridan Ave, Sheridan, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rehabilitation Enterprises Of Northeastern Wyoming |
|---|---|
| Address | 1969 S Sheridan Ave, Sheridan, |
| Phone Number | 3076727481 |
| Fax Number | 3076745117 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Samson W Larry |
| Telephone Number | 3076727481 |
NPI Number Detail
| NPI Number | 1689716227 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1969 S Sheridan Ave |
|---|---|
| City | Sheridan |
| State | (WY) |
| Post Code | 828016108 |
| Phone Number | 3076727481 |
| Fax Number | 3076745117 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 709001 |
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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 |
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What is the unique 10-digit identification code assigned to Rehabilitation Enterprises Of Northeastern Wyoming by the Centers for Medicare & Medicaid Services?
The Rehabilitation Enterprises Of Northeastern Wyoming has been issued the NPI (National Provider Identifier) 1689716227, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Rehabilitation Enterprises Of Northeastern Wyoming's physical address?
The Rehabilitation Enterprises Of Northeastern Wyoming is physically located at 1969 S Sheridan Ave, in the city of Sheridan, WY, with the postal code 828016108.
What is the area of specialization for Rehabilitation Enterprises Of Northeastern Wyoming, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Rehabilitation Enterprises Of Northeastern Wyoming is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689716227 to Rehabilitation Enterprises Of Northeastern Wyoming?
The Centers for Medicare & Medicaid Services assigned the 1689716227 to Rehabilitation Enterprises Of Northeastern Wyoming on 2007-02-12.
When was the information pertaining to Rehabilitation Enterprises Of Northeastern Wyoming most recently updated or revised?
The details related to Rehabilitation Enterprises Of Northeastern Wyoming, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.