NPI 1750478376

Gibson Buckley Condie, PHD

Practitioner Clinical Child & Adolescent Psychologist Powell, WY

Practice location

Address: 1054 Vali Road, Powell, WY 82435
Phone: (307) 754-3860
Fax: (307) 754-0920

Registered specialties

Clinical Child & Adolescent Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence SP03 (WY)

Other Psychologist providers in Wyoming →

Registry record

NPI: 1750478376
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Oct 2006
Record last updated: 9 Jul 2007

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.