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Individual

DR. BARBARA ROSE WADDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D.

Contact information

Practice address
300 W MARTIN ST, MARTINSBURG, WV 25401-3333
(304) 263-4988
(304) 262-2498
Mailing address
200 N MAPLE AVE, MARTINSBURG, WV 25401-3328
(304) 263-6814
(304) 262-2498

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21026
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21026
LICENSE NUMBER
WV
Enumeration date
07/09/2006
Last updated
07/08/2007
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