Individual
DR. KENNETH EARLE SHOWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
1320 OHIO ST, SUITE M-1, WAYNESBORO, VA 22980-2467
(540) 448-2538
Mailing address
1320 OHIO ST, SUITE M-1, WAYNESBORO, VA 22980-2467
(540) 448-2538
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001960
VA
103TF0200X
Forensic Psychologist
0810001960
VA
Other
Enumeration date
05/03/2007
Last updated
02/20/2017
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