NPI 1114254240

Brian Alan Daskivich, PHD

Practitioner Clinical Psychologist Cheyenne, WY

Practice location

Address: 2360 E Pershing Blvd, Cheyenne, WY 82001-5356
Phone: (307) 778-7550
Mailing address: PO Box 22196, Cheyenne, WY 82003-2118

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 320 (MT)

Other Psychologist providers in Wyoming →

Registry record

NPI: 1114254240
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Nov 2009
Record last updated: 6 Oct 2013

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.