Individual provider · Type 1 NPI
Stacey Waller, PhD
Clinical Psychologist · Charleston, WV
Practice location
1097 Fledderjohn Rd Ste 3
Charleston, WV 25314-4208
Fax (304) 345-1112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 891 (WV) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1114990900
Stacey Waller, PhD's National Provider Identifier is 1114990900, issued on Feb 10, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Charleston, WV. The record was last updated on Jun 4, 2008.