IndividualActive
Mikaela Bernthaler
NPI 1073769212 · Clinical Psychologist · Evanston, WY
Provider details
- NPI number
- 1073769212
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 464 (WY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
50 Allegiance Cir
Evanston, WY 82930-3804
Phone: (307) 789-3710
Fax: (307) 789-0823
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 6005
Evanston, WY 82931-6005
Registry dates
- Enumerated
- 2008-08-07
- Last updated
- 2008-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.