Mary Newell Waller (NPI# 1154402113, PAC ID# 3779537998) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1154402113 |
| PAC ID by PECOS | 3779537998 |
| Professional Enrollment ID | I20050309000986 |
| Full Name | Mary Newell Waller |
| Address |
5500 Market St Suite 90 Youngstown OH 44512-2616 |
| Phone Number | 3307827701 |
| Gender | F |
| Credential | CP |
| Graduation Year | 1979 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5500 Market St, Suite 90, Youngstown, OH 44512-2616 | 3307827701 |
| Street Address |
5500 MARKET ST SUITE 90 |
| City | YOUNGSTOWN |
| State | OH |
| Zip | 44512-2616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick R Ranalli | Physical Therapy | 5500 Market St, Suite 127, Youngstown, OH 44512-2625 | |
| Katharine Williams | Psychologist, Clinical | 5500 Market St, Suite 205, Boardman, OH 44512-2624 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Louise Sano | Psychologist, Clinical | 7010 S Ave, Suite 5, Boardman, OH 44512 | |
| Charles E Wilkins | Geriatric Medicine | 4214 Market St, Youngstown, OH 44512-1118 | |
| Louis Michael Chiaro | Podiatry | 156 Overhill Rd, Boardman, OH 44512-1455 | |
| Tony T Deramo | Allergy/immunology | 5701 Market St, Youngstown, OH 44512-2603 | |
| Carl Franklin Ansevin | Neurology | 5701 Market St, Suite 101, Boardman, OH 44512-2603 | |
| Christine L Fullerman | Audiologist | Youngstown Hearing and Speech Center | 6614 Southern Blvd, Youngstown, OH 44512-3455 |
| Andrew J Meyer | Anesthesiology | Children's Hospital Medical Center of Akron | 6505 Market St, Boardman, OH 44512-3457 |
| Melanie L Kurzweil | Certified Registered Nurse Anesthetist (crna) | Children's Hospital Medical Center of Akron | 6505 Market St, Boardman, OH 44512-3457 |
| Graham P Baciak | Certified Registered Nurse Anesthetist (crna) | Children's Hospital Medical Center of Akron | 6505 Market St, Boardman, OH 44512-3457 |
| Ibrahim S Farid | Anesthesiology | Children's Hospital Medical Center of Akron | 6505 Market St, Boardman, OH 44512-3457 |
| Find all physicians in zip 44512 | |||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | YOUNGSTOWN + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Mary Newell Waller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.