Provider Demographics
NPI:1487012092
Name:PSYCHOLOGICAL AND CONSULTING SERVICES, P.C.
Entity Type:Organization
Organization Name:PSYCHOLOGICAL AND CONSULTING SERVICES, P.C.
Other - Org Name:FLEMING ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:GRANT
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:307-634-6883
Mailing Address - Street 1:1001 W 31ST ST
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-2442
Mailing Address - Country:US
Mailing Address - Phone:307-634-6883
Mailing Address - Fax:307-634-9462
Practice Address - Street 1:1001 W 31ST ST
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-2442
Practice Address - Country:US
Practice Address - Phone:307-634-6883
Practice Address - Fax:307-634-9462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY310103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty