Gloria D Rutt Psyd Pc

LBN: Gloria D Rutt Psyd Pc
Gloria D Rutt Psyd Pc is an health care organization with primary practice located at 2305 Coulter Drive , Cheyenne WY 82009. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Gloria D Rutt Psyd Pc can be contacted via phone (307) 286-4106, or through Rutt, Gloria Diane via phone (307) 286-4106.

Contact Information

Primary practice address
2305 Coulter Drive Cheyenne WY 82009
Phone: (307) 286-4106
Fax: (307) 632-6588
Website:
Map and Directions
Authorized official contact:
Name: Rutt, Gloria Diane PSYD
Phone: (307) 286-4106

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 422 Wyoming

Profile Details

NPI number 1063504611
LBN Legal business name Gloria D Rutt Psyd Pc
DBA Doing business as
Authorized official Rutt, Gloria Diane PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2006
Last updated Sep 11th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063504611 NPPES
Wyoming MEDICAID 123535400

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