DR. VIVIAN GAY DEITRICH-MACLEAN (NPI# 1003030511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003030511 |
| Entity Type | Individual |
| Full Name | DR. VIVIAN GAY DEITRICH-MACLEAN |
| Other Name | DR. GAY DEITRICH-MACLEAN |
| Credential | PH.D. |
| Practice Address |
507 S 4th St Suite B Laramie WY 82070-3729 |
| Practice Telephone | 3077551982 |
| Practice Fax Number | 3077424089 |
| Mailing Telephone | 3077551982 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 291 | WY | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
291 | WY | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
291 | WY | Behavioral Health & Social Service Providers |
| X | 103TF0000X |
Psychologist Specialization: Family |
291 | WY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 119587500 | 05 |
| Street Address |
507 S 4TH ST SUITE B |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548656523 | Kelly Petrino, Psyd | Psychologist | 507 S 4th St, Laramie, WY 82070-3753 | 2015-04-07 |
| 1609277227 | Emily Siegel, Lcsw PC | Social Worker | 507 S 4th St, Laramie, WY 82070-3753 | 2014-09-15 |
| 1861824203 | Stephanie Joyce Hanson | Counselor | 507 S 4th St, Laramie, WY 82070-3753 | 2013-08-08 |
| 1255675815 | Tara Clapp | Psychologist | 507 S 4th St, Laramie, WY 82070-3753 | 2012-11-20 |
| 1639328040 | Anne C Bunn Phd LLC | Psychologist | 507 S 4th St, Suite B, Laramie, WY 82070-3753 | 2008-09-10 |
| 1174798375 | Cynthia M Hartung | Psychologist | 507 S 4th St, Suite A, Laramie, WY 82070-3753 | 2008-04-28 |
| 1871717306 | Gay Deitrich-maclean PC | Psychologist | 507 S 4th St, Suite B, Laramie, WY 82070-3729 | 2007-04-13 |
| 1437277910 | Gillian Emily Siegel | Social Worker | 507 S 4th St, Laramie, WY 82070-3753 | 2007-03-26 |
| 1871652248 | Douglas John Scambler | Psychologist | 507 S 4th St, Suite A, Laramie, WY 82070-3753 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
| 1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
| 1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
| 1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
| Find all providers in zip 82070 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831211184 | Charles W Denison | Psychologist | 217 S 1st, Laramie, WY 82070 | 2007-04-06 |
| 1922596196 | Snowy Range Consulting, LLC | Psychologist | 526 Regency Dr, Laramie, WY 82070-5106 | 2018-04-24 |
| 1407362874 | Thomas Wykes Jr. | Psychologist | 526 Regency Dr, Laramie, WY 82070-5106 | 2017-12-21 |
| 1508207796 | Step By Step Family Therapy, Inc | Psychologist | 2404 Knoll Ct, Laramie, WY 82070-8937 | 2013-07-16 |
| 1104137819 | Frances L Price, Phd, P.C. | Psychologist | 1465 N 4th St, Suite 101, Laramie, WY 82072-2066 | 2010-06-28 |
| 1518286756 | Behavorial Science Investigations LLC | Psychologist | 121 E Grand Ave, Laramie, WY 82070-3600 | 2010-05-27 |
| 1639328040 | Anne C Bunn Phd LLC | Psychologist | 507 S 4th St, Suite B, Laramie, WY 82070-3753 | 2008-09-10 |
| 1225257215 | Psychology Clinic PC | Psychologist | 217 S 1st Street, Laramie, WY 82070 | 2007-04-25 |
| 1427184605 | Mark Joseph Watt | Psychologist | 526 Regency Dr, Laramie, WY 82070-5106 | 2007-02-24 |
| 1437259017 | Marilyn K. Yee | Psychologist | 1465 N 4th St, Suite 101, Laramie, WY 82072-2066 | 2006-09-24 |
| Find all providers in LARAMIE | ||||
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| 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.