Mrs Cynthia Ann Miller Wyatt, LCSW is a
Social Worker - Clinical based in Peterson Space Force Base, Colorado. Mrs Cynthia Ann Miller Wyatt is licensed to practice in Texas (license number 41874) and her current practice location is
100 W Ent Ave, Building 725, Peterson Space Force Base, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 556-8943.
NPI number for Mrs Cynthia Ann Miller Wyatt is 1144207721 and her current mailing address is 7206 Flowering Almond Dr, Colorado Springs, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144207721.
Healthcare Provider's Profile
| Full Name | Mrs Cynthia Ann Miller Wyatt |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 100 W Ent Ave, Peterson Space Force Base, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144207721
- Provider Enumeration Date: 12/27/2005
- Last Update Date: 08/31/2022
Medical Identifiers
Medical identifiers for Mrs Cynthia Ann Miller Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1144207721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 989226 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8441 (Louisiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 41874 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Cynthia Ann Miller Wyatt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Cynthia Ann Miller Wyatt, LCSW 7206 Flowering Almond Dr, Colorado Springs, CO 80923-5499 Ph: (940) 337-1550 | Mrs Cynthia Ann Miller Wyatt, LCSW 100 W Ent Ave, Building 725, Peterson Space Force Base, CO 80916 Ph: (719) 556-8943 |
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