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MARY JO JEFFRES PH.D.
NPI 1629013784
Psychologist - Clinical in Riverton, WY

Active since June 20, 2006
103 N 5TH ST E, RIVERTON, WY 82501(307) 463-0890(307) 463-0891 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Jo Jeffres Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY JO JEFFRES PH.D. (NPI 1629013784) is an individual clinical provider in Riverton, Wyoming, licensed in Wyoming (421) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1629013784
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARY JO JEFFRESCredential: PH.D.
Location Address103 N 5TH ST ERiverton, WY 82501-4402
Mailing Address103 N 5th St ERiverton, WY 82501-4402 · (307) 463-0890 · Fax (307) 463-0891
Phone(307) 463-0890
Fax(307) 463-0891
Sole ProprietorYes
Enumeration DateJune 20, 2006
Last NPPES UpdateDecember 23, 2015
✔ NPI 1629013784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WY · 421
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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
103 N 5TH ST E, Riverton, WY 82501
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Other Identifiers 1

Medicaid147314WY

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOMETOWN FREEDOM HEALTHCARE, LLC
Family Medicine
103 N 5TH ST E
RIVERTON, WY 82501
Fremont County (307) 463-0541
SILVER SAGE PSYCHIATRY
Nurse Practitioner (Psychiatric/Mental Health)
103 N 5TH ST E
RIVERTON, WY 82501
Fremont County (307) 288-2328
MS. SUSAN DIANNE JOHNSON LCSW
Social Worker (Clinical)
103 N 5TH ST E
RIVERTON, WY 82501
Fremont County (307) 463-0890
MARY JO JEFFRES PHD, LLC
Psychologist (Clinical)
103 N 5TH ST E
RIVERTON, WY 82501
Fremont County (307) 463-0890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Jeffres's NPI number?

The NPI number for Mary Jeffres is 1629013784. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Mary Jeffres located?

Mary Jeffres practices at 103 N 5th St E, Riverton, WY 82501. The listed phone number is (307) 463-0890.

What is Mary Jeffres's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Mary Jeffres was last updated on December 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.