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).
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 |
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 |
Street Address |
2315 DUNN AVE # 6 |
City | CHEYENNE |
State | WY |
Zip Code | 82001-3214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
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 |
Find all providers in zip 82001 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639700750 | Unaccompanied Student Initiative | Psychologist | 910 W Fox Farm Rd, Cheyenne, WY 82007-2674 | 2020-01-28 |
1730731696 | Shaina Smith | Psychologist | 1401 Airport Pkwy Ste 240, Cheyenne, WY 82001-1542 | 2019-07-11 |
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 |
Find all providers in CHEYENNE |
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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.