Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWIN WALLACE BASHAM JR., ED.D.
Active Sole ProprietorEDWIN WALLACE BASHAM JR., ED.D. is a Psychologist healthcare provider located in AMARILLO, Texas. NPI 1962537035 is currently active in the NPPES registry. Verify at CMS.
Psychologist · AMARILLO, TX
Registration Details
- NPI Number
- 1962537035
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2007 (19.432436790744 yrs)
- Last Updated
- Jul 9, 2007
- License
-
22625 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3505 OLSEN BLVDSUITE 224AMARILLO, TX, 791093042Browse TX providers · Browse ZIP 79109
- Phone
- 8063540411
- Fax
- 8063540466
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in AMARILLO, TX
| Name | Credential | NPI |
|---|---|---|
| DR. ANTHONY W ARDEN | PH.D. | 1508864398 |
| DR. THOMAS CHESTER JOHNSON | PHD | 1548211295 |
| R PAUL WIRTZ | M.A. | 1619099736 |
| DR. TRISHA PAULETTE BARCLEY | PHD | 1114114709 |
| DR. AIMEE ELISABETH WHITTAKER | PH.D. | 1346546520 |
| ERIN AVIRETT | PHD | 1861894636 |
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.