Todd M Wahl Psyd LLC

NPI #1295060614 in Cheyenne, Wyoming

Provider Information

NPI Number: 1295060614
Entity Type: Organization
Organization Name: Todd M Wahl Psyd LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 3, 2009
Last Updated: Oct 5, 2009

Practice Location

Address: 2315 DUNN AVE # 6
City: Cheyenne
State: Wyoming
ZIP Code: 82001-3214
Phone: (970) 581-9398

Authorized Official

Name: TODD M WAHL, PSY.D.
Title: SOLE MEMBER
Phone: (970) 581-9398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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