Individual provider · Type 1 NPI

Robert Ray Waller, PhD

Clinical Psychologist · Edmond, OK

NPI number 1760543508 Active

Practice location

2500 S Broadway, Building 200
Edmond, OK 73013-4038

Mailing address

8304 NW 113th St
Oklahoma City, OK 73162-2136

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X772 (OK)

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 1760543508

Robert Ray Waller, PhD's National Provider Identifier is 1760543508, issued on Dec 13, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Edmond, OK. The record was last updated on Jul 8, 2007.