| Yun-ju Cheng, Ph.d. Psychologist, P.c. | |
|
1020 Owl Creek Rd Thermopolis WY 82443-9110 | |
| (307) 921-0003 | |
| Not Available |
| Full Name | Yun-ju Cheng, Ph.d. Psychologist, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1020 Owl Creek Rd, Thermopolis, Wyoming |
| Authorized Official Name and Position | Yun-ju Cheng (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3079210003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yun-ju Cheng, Ph.d. Psychologist, P.c. Po Box 1105 Thermopolis WY 82443-1105 Ph: (307) 921-0003 | Yun-ju Cheng, Ph.d. Psychologist, P.c. 1020 Owl Creek Rd Thermopolis WY 82443-9110 Ph: (307) 921-0003 |
| NPI Number | 1912597188 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 01/21/2021 |
| Certification Date | 01/21/2021 |
| Medicare PECOS PAC ID | 6103232509 |
|---|---|
| Medicare Enrollment ID | O20210310000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912597188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Yun-ju Cheng |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730259433 PECOS PAC ID: 7517945892 Enrollment ID: I20210311001517 |
Tlc Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 316 Broadway St, Suite #2, Thermopolis, WY 82443 Phone: 307-864-3211 Fax: 307-864-3267 |