Casper Community Care, Inc. | |
1522 E A St Casper WY 82601-2217 | |
(307) 232-6096 | |
(307) 232-6098 |
Full Name | Casper Community Care, Inc. |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1522 E A St, Casper, Wyoming |
Authorized Official Name and Position | Carla I Gibson (PRESIDENT) |
Authorized Official Contact | 3072776132 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Casper Community Care, Inc. 1522 E A St Casper WY 82601-2217 Ph: (307) 232-6096 | Casper Community Care, Inc. 1522 E A St Casper WY 82601-2217 Ph: (307) 232-6096 |
NPI Number | 1356620579 |
---|---|
Provider Enumeration Date | 08/04/2011 |
Last Update Date | 10/04/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356620579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 447 (Wyoming) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 7660A (Wyoming) | Primary |
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