Organization · Type 2 NPI

Supportive Care of Wyoming LLC

Clinical Psychologist · Cheyenne, WY

NPI number 1578413167 Active

Practice location

2700 E 12th St
Cheyenne, WY 82001-5604

Call (718) 506-1115 Map

Mailing address

27 Randolph Rd
Howell, NJ 07731-8611

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed
Clinical Social Worker 1041C0700XNone listed
Nurse Practitioner 363L00000XNone listed

Clinical Psychologist: 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 discip…

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About NPI 1578413167

Supportive Care of Wyoming LLC's National Provider Identifier is 1578413167, issued on Feb 2, 2026. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Cheyenne, WY. The record was last updated on Feb 2, 2026.