Piedmont Psychological Practice Llc | |
1408 Odell Ct Unit C Sheridan WY 82801-4449 | |
(307) 672-4689 | |
(307) 672-2469 |
Full Name | Piedmont Psychological Practice Llc |
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Speciality | Psychologist |
Location | 1408 Odell Ct Unit C, Sheridan, Wyoming |
Authorized Official Name and Position | Eric Richard Askins (OWNER/SOLE MEMBER) |
Authorized Official Contact | 3076722468 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Piedmont Psychological Practice Llc 1408 Odell Ct Unit C Sheridan WY 82801-4449 Ph: (307) 672-4689 | Piedmont Psychological Practice Llc 1408 Odell Ct Unit C Sheridan WY 82801-4449 Ph: (307) 672-4689 |
NPI Number | 1508298555 |
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Provider Enumeration Date | 08/01/2013 |
Last Update Date | 07/06/2022 |
Certification Date | 07/06/2022 |
Medicare PECOS PAC ID | 2365671336 |
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Medicare Enrollment ID | O20140217000377 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508298555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Barbara L Ziegler |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1801844550 PECOS PAC ID: 9830273622 Enrollment ID: I20080304000239 |
Provider Name | Eric R Askins |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1003245655 PECOS PAC ID: 4587740360 Enrollment ID: I20140218002054 |
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