| Dr Steven Edward Humphries-wadsworth, PHD, LMFT | |
|
2538 Big Horn Ave, Cody, WY 82414-9299 | |
| (307) 587-2197 | |
| Not Available |
| Full Name | Dr Steven Edward Humphries-wadsworth |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 2538 Big Horn Ave, Cody, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700026903 | NPI | - | NPPES |
| 0MT0744541 | Other | MT | BLUE CROSS-SHIELD OF MONTANA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT-092 (Wyoming) | Primary |
| 106H00000X | Marriage & Family Therapist | 26001 (Montana) | Secondary |
| Entity Name | West Park Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558351536 PECOS PAC ID: 7315855624 Enrollment ID: O20040127000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steven Edward Humphries-wadsworth, PHD, LMFT 707 Sheridan Ave, Cody, WY 82414-3409 Ph: (307) 578-2720 | Dr Steven Edward Humphries-wadsworth, PHD, LMFT 2538 Big Horn Ave, Cody, WY 82414-9299 Ph: (307) 587-2197 |
Kellie Hollingsworth, M.A,, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1701 Stampede Ave Ste 201, Cody, WY 82414 Phone: 307-250-8761 | |
Linda Trask, Couples Therapy Medicare: Medicare Enrolled Practice Location: 2538 Big Horn Ave, Cody, WY 82414 Phone: 307-587-2197 Fax: 307-527-6218 | |
Dr. Janet L Rosenberg, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 956 12th St, Cody, WY 82414 Phone: 702-445-4083 | |
Dr. Shaun Robin Balch, PH.D Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2538 Big Horn Ave, Cody, WY 82414 Phone: 307-587-2197 Fax: 307-527-6218 | |
Tamara Danielle Ryan, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2538 Big Horn Ave, Cody, WY 82414 Phone: 307-587-2197 |