Organization · Type 2 NPI

Teton Psychology Clinic, LLC

Adolescent and Children Mental Health Clinic/Center · Jackson, WY

NPI number 1659516318 Active

Practice location

460 South Cache Street
Jackson, WY 83001

Fax (307) 739-4522

Mailing address

PO Box 3143, 460 South Cache Street
Jackson, WY 83001-3143

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855X399 (WY)

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1659516318

Teton Psychology Clinic, LLC's National Provider Identifier is 1659516318, issued on Dec 10, 2008. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Jackson, WY. The record was last updated on Dec 10, 2008.