EVELYN WALLER
NPI 1104200401
Counselor - Mental Health in Philadelphia, PA
About Evelyn Waller NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVELYN WALLER (NPI 1104200401) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since July 2015.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Evelyn Waller's NPI number?
The NPI number for Evelyn Waller is 1104200401. It was assigned to this individual provider in the NPPES registry on July 16, 2015.
Where is Evelyn Waller located?
Evelyn Waller practices at 123 E Mayland St, Philadelphia, PA 19144. The listed phone number is (267) 584-2474.
What is Evelyn Waller's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Evelyn Waller was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Evelyn Waller · NPI 1104200401
Mental Health provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 16, 2015.
## Identity
- **NPI:** 1104200401 (Entity type: Individual)
- **Enumerated:** July 16, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 123 E MAYLAND ST, Philadelphia, PA 19144-2020
- **Phone:** (267) 584-2474
## Record status
- **NPPES last updated:** July 16, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1104200401) · Data from the CMS NPPES public registry.