Individual
DR. EDIE WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
711 D ST STE 117, SAN RAFAEL, CA 94901-3703
(415) 461-4322
(415) 461-4322
Mailing address
336 BON AIR SHOPPING CTR # 519, GREENBRAE, CA 94904-3017
(415) 461-4322
(415) 461-4322
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18112
CA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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