Mary Jo Jeffres Phd, Llc

LBN: Mary Jo Jeffres Phd, Llc
Mary Jo Jeffres Phd, Llc is an health care organization with primary practice located at 103 N 5Th St E , Riverton WY 82501-4402. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Mary Jo Jeffres Phd, Llc can be contacted via phone (307) 463-0890, or through Jeffres, Mary Jo via phone (307) 463-0890.

Contact Information

Primary practice address
103 N 5Th St E Riverton WY 82501-4402
Phone: (307) 463-0890
Fax: (307) 463-0891
Website:
Map and Directions
Authorized official contact:
Name: Jeffres, Mary Jo PHD
Phone: (307) 463-0890

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 421 Wyoming

Profile Details

NPI number 1962563361
LBN Legal business name Mary Jo Jeffres Phd, Llc
DBA Doing business as
Authorized official Jeffres, Mary Jo PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 21st, 2022 - about 3 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 1962563361 NPPES
Wyoming MEDICAID 121869700

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