IndividualActive
Brian Daskivich, PH.D.
NPI 1114254240 · Clinical Psychologist · Cheyenne, WY
Provider details
- NPI number
- 1114254240
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 320 (MT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2360 E Pershing Blvd
Cheyenne, WY 82001-5356
Phone: (307) 778-7550
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 22196
Cheyenne, WY 82003-2118
Registry dates
- Enumerated
- 2009-11-10
- Last updated
- 2013-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.