Organization
GERALD SHOWALTER, PSY.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD R. SHOWALTER PSY.D. (PRESIDENT)
(540) 447-0134
Entity
Organization
Contact information
Practice address
1320 OHIO ST STE M, WAYNESBORO, VA 22980-2467
(540) 447-0134
(540) 941-1076
Mailing address
1009 LYNDHURST RD, WAYNESBORO, VA 22980-5532
(540) 447-0134
(540) 941-1076
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810000262
VA
103TC0700X
Clinical Psychologist
0810000262
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7714386
—
VA
Enumeration date
09/22/2010
Last updated
09/22/2010
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