MEDICARE: BRYAN DAVID PELTIER PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	290	WY

General Provider Information

NPI Number	:	1811346943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYAN DAVID PELTIER PH.D.

Provider Business Mailing Address
First Line	:	125 FOX HILLS DR
Second Line	:
City	:	GREEN RIVER
State	:	WY
Zip	:	82935-7100
Country	:	US
Telephone Number	:	307-871-1615
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 FOX HILLS DR
Second Line	:
City	:	GREEN RIVER
State	:	WY
Zip	:	82935-7100
Country	:	US
Telephone Number	:	307-871-1615
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2016
Last Update Date	:	06/09/2016

Similar Medicare Providers

1912036229 — MRS. VIRGINIA JO DANTONE MS, RD, LDN,CDE
Practice Location Address:

112 RIVER OAKS DR
LA PLACE, LA
70068-7100

Practice Phone: 985-651-2342
Practice Fax: 888-573-1919

1780713669 — JENRY R SCHORLING LDN, RD
Practice Location Address:

112 RIVER OAKS DR
LA PLACE, LA
70068-7100

Practice Phone: 985-651-2342
Practice Fax:

1255535183 — MRS. RHONDA GADDY BANTOM
Practice Location Address:

8862 RIVER PINE DR
CORDOVA, TN
38016-7100

Practice Phone: 901-251-0152
Practice Fax:

1861734071 — MRS. REBEKAH D'ANGELO MCALLISTER MA, RD, LDN
Practice Location Address:

112 RIVER OAKS DR
LA PLACE, LA
70068-7100

Practice Phone: 985-651-2342
Practice Fax: 888-573-1919

1508308263 — NUTRITION EDUCATION RESOURCES, INC.
Practice Location Address:

112 RIVER OAKS DR
LA PLACE, LA
70068-7100

Practice Phone: 985-651-2342
Practice Fax: 888-573-1919

1356417976 — COUNTY OF SACRAMENTO
Practice Location Address:

7100 BOWLING GREEN DRIVE , SUITE 500
SACRAMENTO, CA
95823

Practice Phone: 916-875-4613
Practice Fax: 916-875-4605

Directions to “ BRYAN DAVID PELTIER PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.