Psychologist Health Service Health Providers - WYOMING
103TH0100X - Psychologist Health Service
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
List of 2 registered providers with a business address in Wyoming whose primary or secondary health provider taxonomy code is Psychologist Health Service, all registered as individuals.
100% Individual Providers (2)50% Female Providers (1)50% Male Providers (1)
List of Providers
| Provider Name | Type | Address | PECOS | |
|---|---|---|---|---|
| KELSEY L MAMMEN | Individual | 1607 CY AVE STE 102 CASPER, WY 82604 (307) 337-4673 | NO | |
| PHILLIP KENT RECTOR | Individual | BLACK COAL DRIVE BUILDING 29 FORT WASHAKIE, WY 82514 (307) 332-7300 | YES |
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Individual Female Provider | Individual Male Provider | Medical Organization
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- 103TH0004X
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