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Stacey Waller, PHD
Clinical Psychologist in Charleston, West Virginia
NPI 1114990900

Stacey Waller is a Clinical Psychologist based in Charleston, WV and is specialized in Clinical. Stacey Waller practices in Charleston, WV and has the professional credentials of PHD. The NPI Number for Stacey Waller is 1114990900 and holds a License No. 891 (West Virginia).

The current practice location address for Stacey Waller is 1097 Fledderjohn Rd Ste 3, Charleston, WV and can be reached out via phone at 304-345-0880 and via fax at 304-345-1112. You can also correspond with Stacey Waller through the mailing address at 1097 FLEDDERJOHN RD STE 3, CHARLESTON, WV - 25314-4208 (mailing address contact number: 304-345-0880).

Location: 1097 Fledderjohn Rd Ste 3, Charleston, WV, 25314-4208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114990900
Provider Name
Stacey Waller
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1097 Fledderjohn Rd Ste 3, Charleston, WV, 25314-4208
Phone Number
304-345-0880
Fax Number
304-345-1112
Provider Enumeration Date
02/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810001772 05 WV
institution
Provider Business Practice Location Address Details
Address
1097 Fledderjohn Rd Ste 3
City
Charleston
State
West Virginia
Zip
25314-4208
Phone Number
304-345-0880
Fax Number
304-345-1112
person
Provider Business Mailing Address Details
Address
1097 Fledderjohn Rd Ste 3
City
Charleston
State
West Virginia
Zip
25314-4208
Phone Number
304-345-0880
Fax Number
304-345-1112
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
891 (West Virginia)
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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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