MEDICAL PSYCHOTHERAPY PC
Organization (NPI-2)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1417904095- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 140 E BROADWAY AVE, JACKSON, WY, 830018632
- Phone
- (307) 201-1254
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
Primary License: ID #M-8621