| Julie Wilding, | |
|
325 Adams Drive, Ste 325, Weatherford, TX 76086-6749 | |
| (208) 871-1534 | |
| Not Available |
| Full Name | Julie Wilding |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 325 Adams Drive, Weatherford, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114662335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 68080 (Texas) | Primary |
| Entity Name | Deep Eddy Psychotherapy Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457740862 PECOS PAC ID: 2264886936 Enrollment ID: O20230928002745 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Wilding, 325 Adams Dr Ste 325, Weatherford, TX 76086-6749 Ph: () - | Julie Wilding, 325 Adams Drive, Ste 325, Weatherford, TX 76086-6749 Ph: (208) 871-1534 |
Ms. Elizabeth Guenevere Nieman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Manor Court N. Willow Park, Weatherford, TX 76087 Phone: 817-552-8263 Fax: 817-441-1916 | |
Gail Elizabeth Mcdaniel, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 706 Jones Rd, Weatherford, TX 76088 Phone: 817-771-4719 | |
Ms. Susan Elizabeth O'hara-jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1905 Clear Creek Dr, Weatherford, TX 76087 Phone: 817-422-2651 | |
Ashten Marie Wiedebusch, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 N Waco St, Weatherford, TX 76086 Phone: 817-594-3052 | |
Judith Kehoe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1261 Newcastle Dr, Weatherford, TX 76086 Phone: 817-900-6234 | |
Dr. Toni Rabalais, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 602 S Main St Ste 400, Weatherford, TX 76086 Phone: 817-886-0620 |