| Todd M Wahl Psyd Llc | |
|
2315 Dunn Ave # 6 Cheyenne WY 82001-3214 | |
| (970) 581-9398 | |
| (877) 838-8925 |
| Full Name | Todd M Wahl Psyd Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2315 Dunn Ave # 6, Cheyenne, Wyoming |
| Authorized Official Name and Position | Todd M Wahl (SOLE MEMBER) |
| Authorized Official Contact | 9705819398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd M Wahl Psyd Llc Po Box 272716 Fort Collins CO 80527-2716 Ph: (970) 581-9398 | Todd M Wahl Psyd Llc 2315 Dunn Ave # 6 Cheyenne WY 82001-3214 Ph: (970) 581-9398 |
| NPI Number | 1295060614 |
|---|---|
| Provider Enumeration Date | 10/03/2009 |
| Last Update Date | 10/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295060614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 444 (Wyoming) | Primary |
| 103TC0700X | Psychologist - Clinical | 3094 (Colorado) | Secondary |
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