DR. JOHN C DOLORES


Address: 5303 Mountain Rd, Apt C, Cheyenne, WY 82009-5049
Phone: 6102096715

DR. JOHN C DOLORES (NPI# 1417246869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417246869
Entity Type Individual
Full Name DR. JOHN C DOLORES
Credential PH.D.
Practice Address 5303 Mountain Rd
Apt C
Cheyenne
WY 82009-5049
Practice Telephone 6102096715
Enumeration Date 2011-04-06
Last Update Date 2011-04-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
499 WY Behavioral Health & Social Service Providers

Office Location

Street Address 5303 MOUNTAIN RD
APT C
City CHEYENNE
State WY
Zip Code 82009-5049

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City CHEYENNE
Zip Code 82009

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Dataset Information

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.

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