Individual
DR. GERALD R SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
27 STONERIDGE DR, STE A01, WAYNESBORO, VA 22980-6583
(540) 447-0134
Mailing address
406 AVENUE B, MELBOURNE BEACH, FL 32951-2215
(540) 447-0134
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000262
VA
103TC0700X
Clinical Psychologist
PY10639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007712197
—
VA
Enumeration date
02/01/2006
Last updated
08/09/2022
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