Stacey Waller, PHD - Psychologist in Charleston, WV

Stacey Waller, PHD is a Psychologist - Clinical based in Charleston, West Virginia. Stacey Waller is licensed to practice in West Virginia (license number 891) and her current practice location is 1097 Fledderjohn Rd Ste 3, Charleston, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 345-0880.

NPI number for Stacey Waller is 1114990900 and her current mailing address is 1097 Fledderjohn Rd Ste 3, Charleston, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114990900.

Contact Information

Stacey Waller, PHD
1097 Fledderjohn Rd Ste 3,
Charleston, WV 25314-4208
(304) 345-0880
(304) 345-1112



Healthcare Provider's Profile

Full NameStacey Waller
GenderFemale
SpecialityPsychologist - Clinical
Location1097 Fledderjohn Rd Ste 3, Charleston, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114990900
  • Provider Enumeration Date: 02/10/2006
  • Last Update Date: 06/04/2008

Medical Identifiers

Medical identifiers for Stacey Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114990900NPI-NPPES
3810001772MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 891 (West Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey Waller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacey Waller, PHD
1097 Fledderjohn Rd Ste 3,
Charleston, WV 25314-4208

Ph: (304) 345-0880
Stacey Waller, PHD
1097 Fledderjohn Rd Ste 3,
Charleston, WV 25314-4208

Ph: (304) 345-0880

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› Verified 5 days ago


Psychologist in Charleston, WV

Dr. David A Clayman, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1097 Fledderjohn Road, Ste 3, Charleston, WV 25314
Phone: 304-345-0880    Fax: 304-345-1112
Maria Lynn Bell,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 200 Elizabeth St, Charleston, WV 25311
Phone: 304-348-7740    Fax: 304-348-6671
Elizabeth Willard,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 200 Elizabeth St, Charleston, WV 25311
Phone: 304-348-7740    
Nancy Rabel Canterbury, MA
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3100 Maccorkle Ave Se, Suite 401, Charleston, WV 25304
Phone: 304-346-6161    Fax: 304-346-6166
Mrs. Christina M Arco, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1013b Oakhurst Dr, Charleston, WV 25314
Phone: 304-720-7591    Fax: 304-720-7593
Dr. Melisa Chelf Sirbu, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Cardiac Rehabilitatoin, Charleston, WV 25304
Phone: 304-388-9520    Fax: 304-388-9422
Dr. Jessica Lynn Luzier, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 3200 Maccorkle Ave Se, Dept Of Behavioral Medicine, 5th Floor, Charleston, WV 25304
Phone: 304-388-1029    Fax: 304-388-1041

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