Samantha S Cowper, MA PPC | |
1263 N 15th St, Laramie, WY 82072-2343 | |
(307) 745-8915 | |
(307) 745-8761 |
Full Name | Samantha S Cowper |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 1263 N 15th St, Laramie, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013214105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 581 (Wyoming) | Primary |
Entity Name | Samantha Ivy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427557008 PECOS PAC ID: 0840552386 Enrollment ID: O20180322000570 |
Mailing Address | Practice Location Address |
---|---|
Samantha S Cowper, MA PPC 1263 N 15th St, Laramie, WY 82072-2343 Ph: (307) 745-8915 | Samantha S Cowper, MA PPC 1263 N 15th St, Laramie, WY 82072-2343 Ph: (307) 745-8915 |
Jacquelyn Ralph, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1575 N 4th St Ste 103, Laramie, WY 82072 Phone: 307-721-0700 | |
Gail Ford, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1263 N 15th St, Laramie, WY 82072 Phone: 307-745-8915 | |
Karen Brooke Glahn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 Mitchell St, Laramie, WY 82072 Phone: 801-400-4409 | |
Lois Kline, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1277 N 15th St, Laramie, WY 82072 Phone: 307-742-2181 | |
Jenna Hepp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1575 N 4th St Ste 103, Laramie, WY 82072 Phone: 307-721-0700 | |
Brittany Bares, M.ED, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 E Grand Ave, Laramie, WY 82070 Phone: 419-494-3204 |