Individual
DR. ERIKA MCGRAW WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
211 S 8TH ST, COLUMBIA, MO 65211-0001
(573) 882-4677
(573) 882-4583
Mailing address
211 S 8TH ST, COLUMBIA, MO 65211-0001
(573) 882-4677
(573) 882-4583
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2006034105
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490085577
—
MO
Enumeration date
01/09/2008
Last updated
09/16/2021
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