Caroljean Bongo, PsyD
Psychologist in Cheyenne, WY. Individual provider (NPI-1).
NPI number1134220189
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1134220189
- Entity type
- Individual (NPI-1)
- Name
- Caroljean Bongo
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2006
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 432 | WY | Yes |
Other names
- Caroljean Bongo (Professional Name)
Practice location
2909 Bent AveCheyenne, WY 82001-2742
Phone 307-760-1871 · Fax 866-621-1893
Mailing address
Po Box 21270Cheyenne, WY 82003-7025
Phone 307-760-1871 · Fax 866-621-1893
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