Individual provider · Type 1 NPI

Kalley Marie Waller, PSYD

Psychologist · Provo, UT

NPI number 1861165060 Active

Practice location

750 N Freedom Blvd Ste 300
Provo, UT 84601-1690

Call (801) 373-4760 Map

Fax (801) 373-0639

Mailing address

750 N Freedom Blvd
Provo, UT 84601-1677

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X14193440-2501 (UT)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1861165060

Kalley Marie Waller, PSYD's National Provider Identifier is 1861165060, issued on Jul 26, 2021. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Provo, UT. The record was last updated on Nov 26, 2024.