Individual
PAMELA K WAALAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
513 FOREST AVE, S 203, RICHMOND, VA 23229-6850
(804) 673-3567
(804) 673-3667
Mailing address
9518 DOWNING ST, RICHMOND, VA 23238-4444
(804) 673-3567
(804) 673-3667
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810001300
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7746351
—
VA
Enumeration date
04/19/2006
Last updated
09/25/2023
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