Healthcare Provider Details

I. General information

NPI: 1154565992
Provider Name (Legal Business Name): OHASHI-POYNTER P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2009
Last Update Date: 09/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2622 PIONEER AVE
CHEYENNE WY
82001-3024
US

IV. Provider business mailing address

2622 PIONEER AVE
CHEYENNE WY
82001-3024
US

V. Phone/Fax

Practice location:
  • Phone: 307-433-1124
  • Fax: 307-634-9462
Mailing address:
  • Phone: 307-433-1124
  • Fax: 307-634-9462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number233
License Number StateWY

VIII. Authorized Official

Name: DR. ALIISON K. OHASHI
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 307-433-1124