Edwin Wallace Basham in Amarillo - Psychologist
Edwin Wallace Basham - NPI 1962537035
Edwin Wallace Basham is a Psychologist in Amarillo, Texas. Edwin Wallace Basham practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Edwin Wallace Basham is 1962537035. The last update date is 2007-07-09.
Edwin Wallace Basham's current location address is 3505 Olsen Blvd, Amarillo, Texas. You can contact this provider via phone number 8063540411 and fax number 8063540466. The mailing address for Edwin Wallace Basham is 3505 Olsen Blvd, Amarillo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edwin Wallace Basham |
|---|---|
| Address | 3505 Olsen Blvd, Amarillo, Texas |
| Phone Number | 8063540411 |
| Fax Number | 8063540466 |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1962537035 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3505 Olsen Blvd |
|---|---|
| City | Amarillo |
| State | Texas (TX) |
| Post Code | 791093042 |
| Phone Number | 8063540411 |
| Fax Number | 8063540466 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 22625 |
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Definition: 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 proce |
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What is the unique 10-digit identification code assigned to Edwin Wallace Basham by the Centers for Medicare & Medicaid Services?
The Edwin Wallace Basham has been issued the NPI (National Provider Identifier) 1962537035, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Edwin Wallace Basham's physical address?
The Edwin Wallace Basham is physically located at 3505 Olsen Blvd, in the city of Amarillo, TX, with the postal code 791093042.
What is Edwin Wallace Basham's area of expertise and its corresponding taxonomy classification?
The Edwin Wallace Basham's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1962537035 to Edwin Wallace Basham?
The Centers for Medicare & Medicaid Services assigned the 1962537035 to Edwin Wallace Basham on 2007-02-22.
As of what date were the details related to Edwin Wallace Basham most recently updated or revised?
The information pertaining to Edwin Wallace Basham, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.