Stacey Waller is a Charleston, West Virginia based psychologist who is specialized in Clinical Psychology. Active license number of Stacey Waller is 891 for Clinical Psychology in West Virginia. Her current practice location is 1097 Fledderjohn Rd Ste 3, Charleston. Patients can reach her at 304-345-0880 or can fax her at 304-345-1112. Stacey Waller is PH.D. in Clinical Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1114990900. Stacey Waller is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Her main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that she can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Stacey Waller speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Stacey Waller
Specialization:
Clinical Psychology
Gender:
Female
Credentials:
PH.D.
Practice Address:
1097 Fledderjohn Rd Ste 3, Charleston, West Virginia, 25314-4208
Phone:
304-345-0880
Fax:
304-345-1112
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1114990900
NPI Enumeration Date:
10 Feb, 2006
NPI Last Update On:
04 Jun, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacey Waller are as mentioned below.
License Number
Specialization
State
Status
891
Clinical Psychology
West Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Stacey Waller such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3810001772
Medicaid
West Virginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Stacey Waller 1097 Fledderjohn Rd Ste 3, Charleston, West Virginia
Zip:
25314-4208
Phone Number:
304-345-0880
Fax Number:
304-345-1112
Patients can reach Stacey Waller at 1097 Fledderjohn Rd Ste 3, Charleston, West Virginia or can call to book an appointment on 304-345-0880.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.