Individual
DR. RAPHAEL WALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 955-4600
(833) 625-1604
Mailing address
1001 NW 13TH ST STE 201, BOCA RATON, FL 33486-2269
(561) 955-6663
(561) 955-2879
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY8167
FL
103TC0700X
Clinical Psychologist
PY8167
FL
Other
Enumeration date
09/27/2010
Last updated
11/01/2022
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