| Gerald Showalter, Psy.d., P.c. | |
|
1320 Ohio St Ste M Waynesboro VA 22980-2467 | |
| (540) 447-0134 | |
| (540) 941-1076 |
| Full Name | Gerald Showalter, Psy.d., P.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1320 Ohio St Ste M, Waynesboro, Virginia |
| Authorized Official Name and Position | Gerald R. Showalter (PRESIDENT) |
| Authorized Official Contact | 5404470134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Showalter, Psy.d., P.c. 1009 Lyndhurst Rd Waynesboro VA 22980-5532 Ph: (540) 447-0134 | Gerald Showalter, Psy.d., P.c. 1320 Ohio St Ste M Waynesboro VA 22980-2467 Ph: (540) 447-0134 |
| NPI Number | 1659689883 |
|---|---|
| Provider Enumeration Date | 09/22/2010 |
| Last Update Date | 09/22/2010 |
| Medicare PECOS PAC ID | 1850589359 |
|---|---|
| Medicare Enrollment ID | O20101228000690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659689883 | NPI | - | NPPES |
| 7714386 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 0810000262 (Virginia) | Primary |
| 103TC0700X | Psychologist - Clinical | 0810000262 (Virginia) | Secondary |
| Provider Name | Gerald Ray Showalter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609847136 PECOS PAC ID: 9830387331 Enrollment ID: I20101228000722 |
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