Individual
DR. BETH WADDEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
814 S WASHINGTON ST, MOSCOW, ID 83843-3049
(280) 883-4022
Mailing address
302 STATE ROUTE 27, PULLMAN, WA 99164-0001
(509) 332-6000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-249
ID
Other
Enumeration date
06/18/2005
Last updated
07/08/2007
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