BEVERLY SHAY WALLER - NPI 1609242973 - Counselor in Westampton, NJ

Q: What is Beverly Waller's NPI number?

The NPI number for Beverly Waller is 1609242973. It was assigned to this individual provider in the NPPES registry on August 20, 2015.

Q: What is Beverly Waller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Beverly Waller was last updated on August 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Beverly Shay Waller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY SHAY WALLER (NPI 1609242973) is an individual mental health provider in Westampton, New Jersey and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1609242973

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameBEVERLY SHAY WALLER

Location Address770 WOODLANE RDWestampton, NJ 08060-3804

Mailing Address770 Woodlane RdWestampton, NJ 08060-3804 · (609) 267-5928

Phone(609) 267-5928

Sole ProprietorNo

Enumeration DateAugust 20, 2015

✔ NPI 1609242973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

770 WOODLANE RD, Westampton, NJ 08060

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY CORALLUZZO

Counselor (Mental Health)