| Linda Trask, | |
|
2538 Big Horn Ave, Cody, WY 82414-9299 | |
| (307) 587-2197 | |
| (307) 527-6218 |
| Full Name | Linda Trask |
|---|---|
| Gender | Female |
| 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 |
|---|---|---|---|
| 1417349226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | PMFT-269 (Wyoming) | Primary |
| Entity Name | Yellowstone Behavioral Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962447375 PECOS PAC ID: 0143325134 Enrollment ID: O20081028000839 |
| Entity Name | Cloud Peak Counseling Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861577140 PECOS PAC ID: 3476659699 Enrollment ID: O20160725001670 |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Trask, 2538 Big Horn Ave, Cody, WY 82414-9299 Ph: (307) 587-2197 | Linda Trask, 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 | |
Dr. Steven Edward Humphries-wadsworth, PH.D., LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 2538 Big Horn Ave, Cody, WY 82414 Phone: 307-587-2197 | |
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 |