Edwin Wallace Basham, ED.D. Valid NPI

Individual provider · Psychologist · Amarillo, TX

NPI

1962537035

Type

Individual (Type 1)

Primary specialty

Psychologist

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103T00000X

License number

22625 (TX)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-02-22

Last updated

2007-07-09