| Doctor Name: | DAVID DINGMAN |
| NPI Number: | 1770839144 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS |
| License Number: | 589 |
| Business Practice Address: | 1954 W Mariposa Pkwy Wheatland, WY - 822013102 |
| Business Phone Number: | 3073223190 |
| Business Fax Number: | 3073223198 |
| Mailing Address: | 1954 W Mariposa Pkwy, WHEATLAND |
| State: | WY |
| Postal Code: | 822013102 |
| Phone Number: | 3073223190 |
| Fax Number: | 3073223198 |
| NPI Enumeration Date: | 08/03/2012 |
| NPI Last Update Date: | 08/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 589 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |