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PAMELA K WAALAND PHD

Clinical Neuropsychologist

Richmond, Virginia

Provider NPI: 1083679492

Provider Information:
 PAMELA K WAALAND PHD
Gender: F
Sole Proprietor


Practice Location:
513 FOREST AVE S 203 RICHMOND, VA 23229 US
Tel: 804-673-3567  Fax: 804-673-3667

Business Mailing Address:
513 FOREST AVE S 203 RICHMOND, VA 23229 US
Tel: 804-673-3567  Fax: 804-673-3667

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
VA0810001300

Other Provider Identifiers:

IssuerNumberStateType
7746351VA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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