Organization
TODD M WAHL PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD M WAHL PSY.D. (SOLE MEMBER)
(970) 581-9398
Entity
Organization
Contact information
Practice address
2315 DUNN AVE # 6, CHEYENNE, WY 82001-3214
(970) 581-9398
(877) 838-8925
Mailing address
PO BOX 272716, FORT COLLINS, CO 80527-2716
(970) 581-9398
(877) 838-8925
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3094
CO
103TC0700X
Clinical Psychologist
Primary
444
WY
Other
Enumeration date
10/03/2009
Last updated
10/05/2009
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