NPI 1104807593

Theresa Anne Faulkner, PHD

Practitioner Clinical Psychologist Buffalo, WY

Practice location

Address: 135 Pine St Suite B, Buffalo, WY 82834-2332
Phone: (307) 684-5828
Fax: (307) 684-5803

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence #268 (WY)

Other Psychologist providers in Wyoming →

Registry record

NPI: 1104807593
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Nov 2005
Record last updated: 10 Dec 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.