Whalio Doctors

NPI 1063890341

Scott Clem

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Gillette, WY

Practice location

Address
905 N Gurley Ave, Gillette, WY 82716-2109
Phone
(307) 686-0669

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 020407A2 (WY)
Case Manager/Care Coordinator
Other Service Providers Taxonomy 171M00000X

Registry record

NPI
1063890341
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 May 2015
Record last updated
7 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.