Individual provider · Type 1 NPI

Edwin Wallace Basham Jr., ED.D.

Psychologist · Amarillo, TX

NPI number 1962537035 Active

Practice location

3505 Olsen Blvd, Suite 224
Amarillo, TX 79109-3042

Fax (806) 354-0466

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X22625 (TX)

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 1962537035

Edwin Wallace Basham Jr., ED.D.'s National Provider Identifier is 1962537035, issued on Feb 22, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Amarillo, TX. The record was last updated on Jul 9, 2007.