Todd M Wahl PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

444 Issued in WY

Legal business name

TODD M WAHL PSYD LLC

Practice address

2315 Dunn Ave # 6
Cheyenne, WY 82001-3214

Phone

(970) 581-9398

Fax

(877) 838-8925

NPI assigned

Oct 3, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Todd M Wahl, PSY.D.

Title

Sole Member

Phone

(970) 581-9398

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1295060614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272716",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805272716",
            "telephone_number": "970-581-9398",
            "fax_number": "877-838-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 DUNN AVE # 6",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013214",
            "telephone_number": "970-581-9398",
            "fax_number": "877-838-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD M WAHL PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-03",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "970-581-9398",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "444",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Tinker- Johnson, DPT
• Shannon Tinnin
• Candice Suzanne Tippitt, PHARMD, BCCCP
• Toba Esc LLC
• Megan K Tobin, D.D.S
• Nancy L. Todd, MSW, LCSW
• Thomas Victor Toft, M.D.
• Celina Frances Tolge, M.D.
• Mercedes Elisa Tolle
• Tanya L Tom, PHD

• Clinical Psychologist in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Clinical Psychologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.