DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. EDWARD D WALLER PH.D.

MEDICARE: DR. EDWARD D WALLER PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistSC396SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497805311
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD D WALLER PH.D.
Provider Business Mailing Address
First Line : 26 OFFICE PARK CT
Second Line : SUITE 101
City : COLUMBIA
State : SC
Zip : 29223-5954
Country : US
Telephone Number : 803-788-5511
Fax Number :
Provider Business Practice Location Address
First Line : 26 OFFICE PARK CT
Second Line : SUITE 101
City : COLUMBIA
State : SC
Zip : 29223-5954
Country : US
Telephone Number : 803-788-5511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 07/09/2007

Similar Medicare Providers

1134162662 — JOHN A DREW D.C.
Practice Location Address:
26 OFFICE PARK CT
COLUMBIA, SC
29223-5954
Practice Phone: 803-865-3000
Practice Fax:
1508941253 — DREW FAMILY CHIROPRACTIC
Practice Location Address:
26 OFFICE PARK CT
COLUMBIA, SC
29223-5954
Practice Phone: 803-865-3000
Practice Fax: 803-865-5444
1912312141 — DREW FAMILY CHIROPRACTIC AND NUTRITION
Practice Location Address:
26 OFFICE PARK CT
COLUMBIA, SC
29223-5954
Practice Phone: 803-865-3000
Practice Fax: 803-865-5444
1548786072 — ANGELA DENISE TOBE ESTRADA
Practice Location Address:
26 OFFICE PARK CT STE D1
COLUMBIA, SC
29223-5954
Practice Phone: 803-757-5264
Practice Fax:
1376115097 — PRAYING HANDS HOME CARE
Practice Location Address:
26 OFFICE PARK CT
COLUMBIA, SC
29223-5954
Practice Phone: 803-667-9563
Practice Fax:
1154079515 — SHAYLEEN SAMMONS LM, CPM
Practice Location Address:
26 OFFICE PARK CT
COLUMBIA, SC
29223-5954
Practice Phone: 803-760-6828
Practice Fax:

Directions to “ DR. EDWARD D WALLER PH.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.