Waller, Robert Ray

Waller, Robert Ray is an sole proprietor health care provider with primary practice located at 2500 S Broadway Building 200, Edmond OK 73013-4038. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Waller, Robert Ray can be contacted via phone (405) 721-5145.

Contact Information

Primary practice address
2500 S Broadway Building 200 Edmond OK 73013-4038
Phone: (405) 721-5145
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 772 Oklahoma

Profile Details

NPI number 1760543508
LBN Legal business name Waller, Robert Ray
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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