Edward D Waller is a Clinical in Columbia, South Carolina. Edward D Waller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edward D Waller is 1497805311. The last update date is 2007-07-09.
Edward D Waller's current location address is 26 Office Park Ct, Columbia, South Carolina. You can contact this provider via phone number 8037885511. The mailing address for Edward D Waller is 26 Office Park Ct, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward D Waller |
|---|---|
| Address | 26 Office Park Ct, Columbia, South Carolina |
| Phone Number | 8037885511 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1497805311 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 26 Office Park Ct |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292235954 |
| Phone Number | 8037885511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | SC396 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PS0091 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Edward D Waller by the Centers for Medicare & Medicaid Services?
The Edward D Waller has been issued the NPI (National Provider Identifier) 1497805311 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Edward D Waller's physical address?
The Edward D Waller is physically located at 26 Office Park Ct, in the city of Columbia, SC, with the postal code 292235954.
What is Edward D Waller's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edward D Waller's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497805311 to Edward D Waller?
The Centers for Medicare & Medicaid Services originally issued the 1497805311 to Edward D Waller on 2007-01-11.
When was the information regarding Edward D Waller, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Edward D Waller, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.