| Windy Ridge Psychological Services, Pc | |
|
1607 Cy Ave Suite 302 Casper WY 82604 | |
| (307) 234-0500 | |
| (307) 234-0500 |
| Full Name | Windy Ridge Psychological Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1607 Cy Ave, Casper, Wyoming |
| Authorized Official Name and Position | Cheryl Ann Godley (PRESIDENT) |
| Authorized Official Contact | 3072340500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Windy Ridge Psychological Services, Pc 1607 Cy Ave Suite 302 Casper WY 82604 Ph: (307) 234-0500 | Windy Ridge Psychological Services, Pc 1607 Cy Ave Suite 302 Casper WY 82604 Ph: (307) 234-0500 |
| NPI Number | 1407933328 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 03/23/2015 |
| Medicare PECOS PAC ID | 2668558883 |
|---|---|
| Medicare Enrollment ID | O20080327000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407933328 | NPI | - | NPPES |
| 111778501 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 274 PSYCHOLOGY (Wyoming) | Primary |
| Provider Name | Cheryl A Godley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184802175 PECOS PAC ID: 0446335343 Enrollment ID: I20080317000057 |
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