Todd M Wahl Psyd Llc

NPI 1295060614 - Psychologist - 103TC0700X

NPI Details
NPI 1295060614
Enumeration Date 10/03/2009
Last Updated 10/05/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name TODD M TODD
Position SOLE MEMBER
Phone (970) 581-9398
Fax (877) 838-8925
Practice Location
2315 DUNN AVE # 6
CHEYENNE WY, 82001-3214, US
Phone (970) 581-9398
Fax (877) 838-8925
Business Location
PO BOX 272716
FORT COLLINS CO, 80527-2716, US
Phone (970) 581-9398
Fax (877) 838-8925
Toxanomy
Taxonomy Code 103TC0700X
License State Colorado
License Number 3094
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According to our database, Todd M Wahl Psyd Llc NPI is 1295060614, taxonomy code is 103TC0700X and license number is 3094, license state is located at Colorado. Todd M Wahl Psyd Llc physically located at 2315 Dunn Ave # 6, Cheyenne WY, 82001-3214. NPI Number 1033115704 has the healthcare provider type.

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1295060614 NPI number is provided on an as is basis without warranty of any kind. 1295060614 is maintained by the National Plan & Provider Enumeration System. The contents of Todd M Wahl Psyd Llc are for informational purposes only.