Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY WALLER, PH.D.
ActiveClinical Psychologist · CHARLESTON, WV
Registration Details
- NPI Number
- 1114990900
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 10, 2006 (20.217879064953 yrs)
- Last Updated
- Jun 4, 2008
- License
-
891 (WV)
Practice Information
- Address
-
1097 FLEDDERJOHN RD STE 3CHARLESTON, WV, 253144208Browse WV providers · Browse ZIP 25314
- Phone
- 3043450880
- Fax
- 3043451112
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| DR. BRYCE EDWIN LEFEVER | PH.D. ABPP | 1205800620 |
| DR. SUSAN GRACE WALKER-MATTHEWS | PHD | 1174589964 |
| DR. ROSEMARY L SMITH | PSY.D. | 1326062340 |
| DR. TERESA D. SMITH | PH.D. | 1144244526 |
| NANCY RABEL CANTERBURY | MA | 1073520771 |
| SCOTT A FIELDS | PH.D. | 1568564375 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.