IndividualActive
Laneisha Waller, PH.D.
NPI 1386219186 · Counseling Psychologist · Iowa City, IA
Provider details
- NPI number
- 1386219186
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
616 E Bloomington St
Iowa City, IA 52245-2600
Phone: (319) 337-6998
Fax: (319) 354-1679
Approximate (ZIP-level) locationGet directions
Mailing address
616 E Bloomington St
Iowa City, IA 52245-2600
Registry dates
- Enumerated
- 2021-05-24
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.