STACEY WALLER, PH.D.

Psychologist - Clinical

Active Individual
NPI: 1114990900

Practice Address

1097 FLEDDERJOHN RD STE 3
Charleston, WV 25314

Phone: (304) 345-0880

Specialties

Specialty Code Primary License
Psychologist - Clinical 103TC0700X Yes 891 (WV)

Frequently Asked Questions

NPI 1114990900 is the National Provider Identifier for STACEY WALLER, PH.D., a Psychologist - Clinical provider located in Charleston, WV. This NPI was enumerated on February 10, 2006.
STACEY WALLER, PH.D. practices at 1097 FLEDDERJOHN RD STE 3, Charleston, WV 25314.

Quick Facts

NPI
1114990900
Type
Individual
Enumerated
Feb 10, 2006
Last Updated
Jun 4, 2008

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