Cassie Heap

Individual provider Active NPI Marriage & Family Therapist · Evanston, WY

NPI 1669954525 · NPPES record last updated Sep 6, 2018

Key facts

NPI
1669954525
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
190 Overthrust Rd
Evanston, WY 82930-8293
Phone
(307) 789-4224
Fax
(307) 789-4225
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

190 Overthrust Rd
Evanston, WY 82930-8293

Mailing address

PO Box 2910
Evanston, WY 82931-2910

Other providers in Evanston, WY

All providers in Evanston, WY · Marriage & Family Therapist in Wyoming

Sources for this page

Verify at the official NPI Registry.