University of Wyoming - Wyoming Institute for Disabilities

Organization Active NPI Clinical Psychologist · Laramie, WY

NPI 1154622355 · NPPES record last updated Nov 4, 2010

Key facts

NPI
1154622355
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Psychologist 103TC0700X
License
287 (WY)
Legal business name
UNIVERSITY OF WYOMING - WYOMING INSTITUTE FOR DISABILITIES
Practice address
1000 E University Ave
University of Wyoming, Dept. 4298
Laramie, WY 82071-2000
Phone
(307) 766-2761
Fax
(307) 766-2763
NPI assigned
Nov 4, 2010
Organization subpart
No

Authorized official

Name
Dr. William E Maclean, PHD
Title
Executive Director
Phone
(307) 766-2761

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Uw Family Practice-Casp (11 organizations share this tax ID)

Locations

1000 E University Ave
Laramie, WY 82071
Phone (307) 766-1121

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TC0700X 287 WY Yes

Addresses

Primary practice location

1000 E University Ave
University of Wyoming, Dept. 4298
Laramie, WY 82071-2000

Mailing address

1000 E University Ave
University of Wyoming, Dept. 4298
Laramie, WY 82071-2000
Phone (307) 766-2761

Other providers in Laramie, WY

All providers in Laramie, WY · Clinical Psychologist in Wyoming

Sources for this page

Verify at the official NPI Registry.