Benjamin Clancy

NPI 1215343934 · on the registry since 2014 · sole proprietor

Practice

Address: 4989 North 3rd Street
Laramie, WY 82072
Phone: (307) 745-8997
Fax: (307) 742-6146
Organisation at this address: Cathedral Home For Children
Cathedral Home For Children
Cathedral Home For Children
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 712

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 101Y00000X
Licence states on file: WY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-05-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming