| Dr Amanda Dediego, PHD, LPC, NCC, BC-TM | |
|
123 W 1st St Ste 208a, Casper, WY 82601-2480 | |
| (307) 234-7419 | |
| Not Available |
| Full Name | Dr Amanda Dediego |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 13 Years |
| Location | 123 W 1st St Ste 208a, Casper, Wyoming |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992121677 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Winds Of Change Therapy | 7012351513 | 2 |
| Entity Name | Winds Of Change Therapy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538621750 PECOS PAC ID: 7012351513 Enrollment ID: O20240222002738 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amanda Dediego, PHD, LPC, NCC, BC-TM 123 W 1st St Ste 208a, Casper, WY 82601-2480 Ph: () - | Dr Amanda Dediego, PHD, LPC, NCC, BC-TM 123 W 1st St Ste 208a, Casper, WY 82601-2480 Ph: (307) 234-7419 |
Miss Jane Elizabeth Matthews, M.S., P.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277 | |
Kelly Lisabeth Clanton, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Antler Dr, Casper, WY 82601 Phone: 661-333-4544 | |
Daniel J Gallegos, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3395 Micro Rd, Casper, WY 82601 Phone: 307-262-9961 | |
Heather Paige Thomas, MA, NCC, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 940 E 3rd St Ste 212, Casper, WY 82601 Phone: 307-577-3050 | |
Emily Kathrine Clark, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5725 Highland Dr, Casper, WY 82609 Phone: 307-265-3977 | |
Mrs. Martha Jane Carter, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277 | |
Michelle Grissom, MS, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277 |