NPI 1073769212

Mikaela Bernthaler

Practitioner Clinical Psychologist Evanston, WY

Practice location

Address: 50 Allegiance Cir, Evanston, WY 82930-3804
Phone: (307) 789-3710
Fax: (307) 789-0823
Mailing address: PO Box 6005, Evanston, WY 82931-6005

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 464 (WY)

Other Psychologist providers in Wyoming →

Registry record

NPI: 1073769212
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Aug 2008
Record last updated: 7 Aug 2008

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.