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Stacey Waller, PH.D.
NPI 1114990900 · Clinical Psychologist · Charleston, WV
Stacey Waller, PH.D. is a Clinical Psychologist provider in Charleston, WV (NPI 1114990900).
Provider details
- NPI number
- 1114990900
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 891 (WV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1097 Fledderjohn Rd Ste 3
Charleston, WV 25314-4208
Phone: (304) 345-0880
Fax: (304) 345-1112
Street-level locationGet directions
Mailing address
1097 Fledderjohn Rd Ste 3
Charleston, WV 25314-4208
Registry dates
- Enumerated
- 2006-02-10
- Last updated
- 2008-06-04
Frequently asked questions
- What is Stacey Waller's NPI number?
- Stacey Waller's National Provider Identifier (NPI) is 1114990900, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Waller's specialty?
- Stacey Waller is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Stacey Waller located?
- Stacey Waller's practice location on file with NPPES is 1097 Fledderjohn Rd Ste 3, Charleston, WV 25314-4208.
- What is Stacey Waller's phone number?
- The practice phone number listed in the NPPES registry for Stacey Waller is (304) 345-0880.
- Is Stacey Waller's NPI active?
- Yes — Stacey Waller's NPI (1114990900) is active in the NPPES registry as of the last update on 2008-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.