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NPI 1134220189

IndividualActive

Caroljean Bongo, PSYD

NPI 1134220189 · Psychologist · Cheyenne, WY

Provider details

NPI number: 1134220189
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: PSYD
Sex: Female
Sole proprietor: Yes
License: 432 (WY)

Practice location

2909 Bent Ave

Cheyenne, WY 82001-2742

Phone: (307) 760-1871

Fax: (866) 621-1893

More WY providers

Mailing address

Po Box 21270

Cheyenne, WY 82003-7025

Registry dates

Enumerated: 2006-09-25
Last updated: 2022-07-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Caroljean Bongo, PSYD — NPI 1134220189, Cheyenne, WY | NPI Central