TODD M WAHL PSYD LLC


Address: 2315 Dunn Ave # 6, Cheyenne, WY 82001-3214
Phone: 9705819398

TODD M WAHL PSYD LLC (NPI# 1295060614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295060614
Entity Type Organization
Organization Name TODD M WAHL PSYD LLC
Practice Address 2315 Dunn Ave # 6
Cheyenne
WY 82001-3214
Mailing Address Po Box 272716
Fort Collins
CO 80527-2716
Practice Telephone 9705819398
Practice Fax Number 8778388925
Mailing Telephone 9705819398
Mailing Fax Number 8778388925
Enumeration Date 2009-10-03
Last Update Date 2009-10-05
Authorized Official Name TODD M WAHL (SOLE MEMBER)
Authorized Official Telephone 9705819398
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
3094 CO Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
444 WY Behavioral Health & Social Service Providers

Office Location

Street Address 2315 DUNN AVE # 6
City CHEYENNE
State WY
Zip Code 82001-3214

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1104360726 Jennifer Pannebaker Behavioral Analyst 813 Randall Ave, Cheyenne, WY 82001 2016-12-16
1053854703 Raven Coward Long Social Worker 821 East Pershing Blvd, Cheyenne, WY 82001 2016-11-29
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1538623020 Caitilin Barrett Psychologist 1215 Jessi Dr, Cheyenne, WY 82009-1880 2019-01-29
1417246869 John C Dolores Psychologist 5303 Mountain Rd, Apt C, Cheyenne, WY 82009-5049 2011-04-06
1114164175 Todd Hamilton Burdick Psychologist 5601 Canyon Rd, Cheyenne, WY 82009-4545 2009-01-13
1235279498 Love Care & Dignity, Inc. Psychologist 3344 Ridge Rd, Cheyenne, WY 82001-1734 2007-02-07
1194895359 Magic City Enterprises, Inc Psychologist 1780 Westland Rd, Cheyenne, WY 82001-3322 2006-11-08
1144399056 John R Sink Psychologist 1700 Westland Rd, Cheyenne, WY 82001-3322 2006-11-07
1639196561 Gerald Joseph Post Psychologist 1401 Airport Parkway, Suite 120, Cheyenne, WY 82001 2006-07-16
1417906850 Gloria Diane Rutt Psychologist 2305 Coulter Drive, Cheyenne, WY 82009 2006-05-10
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Competitor

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City CHEYENNE
Zip Code 82001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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