Individual provider · Type 1 NPI

Mary Elizabeth Waller, PhD

Clinical Psychologist · Beachwood, OH

NPI number 1154402113 Active

Practice location

3619 Park East Dr, Suite 313
Beachwood, OH 44122-4330

Fax (216) 591-0550

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X4312 (OH)

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 1154402113

Mary Elizabeth Waller, PhD's National Provider Identifier is 1154402113, issued on Oct 18, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Beachwood, OH. The record was last updated on Jul 8, 2007.