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Individual

DR. BRIAN K WALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY D

Contact information

Practice address
1 COLUMBUS CTR, STE 600, VIRGINIA BEACH, VA 23462-6722
(757) 333-7501
(757) 490-7804
Mailing address
1 COLUMBUS CTR, STE 600, VIRGINIA BEACH, VA 23462-6722
(757) 333-7501
(757) 490-7804

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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