SUMMER DORNON
Individual Provider (NPI-1)
Active
Psychologist, School
Provider Information
- NPI Number
1255085759- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2225 WEATHERBY AVE, ROCK SPRINGS, WY, 829016841
- Phone
- (312) 835-0675
Specialties & Taxonomies
Psychologist, School
License: WA #491353R
Psychologist, School
License: ID #7024
Psychologist, School
Primary License: WY #77176
All Addresses
MAILING
2225 WEATHERBY AVE
ROCK SPRINGS, WY, 829016841