Suzanne Petren (NPI# 1356486245, PAC ID# 2961549670) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1356486245 |
| PAC ID by PECOS | 2961549670 |
| Professional Enrollment ID | I20091029000414 |
| Full Name | Suzanne Petren |
| Organization Legal Name | MOUNTAIN REGIONAL SERVICES, INC |
| Address |
50 Allegiance Cir Evanston WY 82930-3804 |
| Phone Number | 3077893710 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 2264579911 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 195 Feather Way, Cornerstone Behavioral Health, Evanston, WY 82930-9352 | 3077890715 | MOUNTAIN REGIONAL SERVICES, INC |
| 195 Feather Way, Evanston, WY 82930-9352 | 3077890715 | MOUNTAIN REGIONAL SERVICES, INC |
| 50 Allegiance Cir, Evanston, WY 82930-3804 | 3077893710 | MOUNTAIN REGIONAL SERVICES, INC |
| Organization Legal Name | MOUNTAIN REGIONAL SERVICES, INC |
| Physicians | 1 |
| Street Address |
50 ALLEGIANCE CIR |
| City | EVANSTON |
| State | WY |
| Zip | 82930-3804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol D Davis | Occupational Therapy | 612 County Club Dr, Ot Services, Evanston, WY 82930 | |
| Vickie L Wood | Clinical Social Worker | Pioneer Counseling Services | 949 Ctr St, Evanston, WY 82930-3430 |
| William Bruce Bourland | Optometry | 701 Front St, Evanston, WY 82930-3522 | |
| Pamela R Fuller | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Juliet L Jett | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Cora J Klotzbach | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Denise M Debarre | Clinical Psychologist | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| David R Russell | Optometry | 720 6th St, Evanston, WY 82930-3702 | |
| Sheri L Montgomery | Occupational Therapy | 152 Fox Point Loop Rd, Evanston, WY 82930-4784 | |
| Mark Z Brinkerhoff | Physical Therapy | 170 Yellow Creek Rd D, Evanston, WY 82930-5200 | |
| Find all physicians in zip 82930 | |||
| City | EVANSTON |
| Zip Code | 82930 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | EVANSTON + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Suzanne Petren.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.