person
Dr. Miriam S. Wald
Clinical Psychologist in Petaluma, California
NPI 1649352733

Miriam S. Wald is a Clinical Psychologist based in Santa Rosa, CA and is specialized in Clinical. Miriam S. Wald practices in Petaluma, CA. The NPI Number for Miriam S. Wald is 1649352733 and holds a License No. PSY10413 (California).

The current practice location address for Miriam S. Wald is 523 Hayes Ln, Petaluma, CA and can be reached out via phone at 800-257-8715 and via fax at 800-819-1655.

Location: 523 Hayes Ln, Petaluma, CA, 95409-3605
person
Provider Profile Details
NPI Number
1649352733
Provider Name
Miriam S. Wald
Credential
Provider Entity Type
Individual
Gender
Female
Address
523 Hayes Ln, Petaluma, CA, 95409-3605
Phone Number
800-257-8715
Fax Number
800-819-1655
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0PL104130 01 CA BLUE CROSS BLUE SHIELD
680006644 01 CA RAIL ROAD
PSY104130 05 CA
institution
Provider Business Practice Location Address Details
Address
523 Hayes Ln
City
State
Zip
94952-4011
Phone Number
800-257-8715
Fax Number
800-819-1655
person
Provider Business Mailing Address Details
Address
523 Hayes Ln
City
State
Zip
94952-4011
Phone Number
800-257-8715
Fax Number
800-819-1655
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
PSY10413 (California)
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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