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SUZANNE PETREN NPI 1356486245


NPI Information

NPI: 1356486245
Provider Name: SUZANNE PETREN
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
50 ALLEGIANCE CIR
EVANSTON, WY
ZIP 82930
Phone: (307) 789-3710
Get Directions

Suzanne Petren is a clinical psychologist in Evanston, 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. Suzanne Petren NPI is 1356486245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

50 ALLEGIANCE CIR
EVANSTON, WY
ZIP 82930-804
Phone: (307) 789-3710
Fax: (307) 789-0823

The enumeration date for this NPI number is 2/20/2007 and was last updated on 5/8/2014.


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
1103TC0700XPsychologistClinical424WYOMINGYes

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
1121776300MEDICAIDWYOMING

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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