BRYAN DAVID PELTIER


Address: 125 Fox Hills Dr, Green River, WY 82935-7100
Phone: 3078711615

BRYAN DAVID PELTIER (NPI# 1811346943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811346943
Entity Type Individual
Full Name BRYAN DAVID PELTIER
Credential PH.D.
Practice Address 125 Fox Hills Dr
Green River
WY 82935-7100
Practice Telephone 3078711615
Mailing Telephone 3078711615
Enumeration Date 2016-06-09
Last Update Date 2016-06-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
290 WY Behavioral Health & Social Service Providers

Office Location

Street Address 125 FOX HILLS DR
City GREEN RIVER
State WY
Zip Code 82935-7100

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City GREEN RIVER
Zip Code 82935

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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