Edie Walden is a Clinical in Greenbrae, California. Edie Walden practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edie Walden is 1508089798. The last update date is 2007-07-08.
Edie Walden's current location address is 336 Bon Air Shopping Ctr # 519, Greenbrae, California. You can contact this provider via phone number 4154614322 and fax number 4154614322. The mailing address for Edie Walden is 336 Bon Air Shopping Ctr # 519, Greenbrae, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edie Walden |
|---|---|
| Address | 336 Bon Air Shopping Ctr # 519, Greenbrae, California |
| Phone Number | 4154614322 |
| Fax Number | 4154614322 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1508089798 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 336 Bon Air Shopping Ctr # 519 |
|---|---|
| City | Greenbrae |
| State | California (CA) |
| Post Code | 949043017 |
| Phone Number | 4154614322 |
| Fax Number | 4154614322 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY18112 |
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Definition: 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 |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Edie Walden?
The Edie Walden has been issued the NPI (National Provider Identifier) 1508089798 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Edie Walden?
The Edie Walden is situated at 336 Bon Air Shopping Ctr # 519, in the city of Greenbrae, state of CA, with the zip code 949043017.
What is Edie Walden's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Edie Walden is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1508089798 to Edie Walden?
The Edie Walden received its 1508089798 assignment from the Centers for Medicare & Medicaid Services on 2007-04-10.
When was the information pertaining to Edie Walden most recently updated or revised?
The details related to Edie Walden, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA