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ERIC SIITERI PHD LLC NPI 1932178696


NPI Information

NPI: 1932178696
Provider Name: ERIC SIITERI PHD LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
111 S JEFFERSON ST
CASPER, WY
ZIP 82601
Phone: (970) 495-0707
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ERIC SIITERI PHD LLC is a clinical psychologist in Casper, WY. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. ERIC SIITERI PHD LLC NPI is 1932178696. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 S JEFFERSON ST
CASPER, WY
ZIP 82601-665
Phone: (970) 495-0707
Fax: (970) 495-6885

The provider's authorized official is Chris L Siiteri .
The authorized official title is Business Manager and has the following contact phone number (970) 495-0707.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 4/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1118233101MEDICAIDWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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