Individual
DR. BRIAN K WALD
Active
Individual
DR. BRIAN K WALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY D
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001650
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000775
VALUE OPTIONS
—
05
—
007708491
—
VA
01
—
080411
SENTARA OPTIMA
—
01
—
087278
MAGELLAN
—
01
—
258293
MANAGED HEALTH NETWORK
—
01
—
275889
MAMSI
—
01
—
380798
ANTHEM HEALTH KEEPERS
—
01
—
43220
CIGNA
—
01
—
680009370
MCARE RAILROAD
—
01
—
C02527
MCARE GROUP
—
Enumeration date
02/03/2006
Last updated
08/05/2011
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