Individual provider · Type 1 NPI

Jewell K. Waldbaum, PhD

Clinical Psychologist · Spring Valley, NY

NPI number 1124024005 Active

Practice location

12 Hawk St
Spring Valley, NY 10977-6104

Fax (845) 425-0144

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X3934 (NY)
Psychologist 103T00000X3934 (NY)
Health Service Psychologist 103TH0100X3934 (NY)

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 1124024005

Jewell K. Waldbaum, PhD's National Provider Identifier is 1124024005, issued on Jun 24, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Spring Valley, NY. The record was last updated on Dec 9, 2010.