Basham, Edwin Wallace

Basham, Edwin Wallace is an sole proprietor health care provider with primary practice located at 3505 Olsen Blvd Suite 224, Amarillo TX 79109-3042. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Basham, Edwin Wallace can be contacted via phone (806) 354-0411.

Contact Information

Primary practice address
3505 Olsen Blvd Suite 224 Amarillo TX 79109-3042
Phone: (806) 354-0411
Fax: (806) 354-0466
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 22625 Texas

Profile Details

NPI number 1962537035
LBN Legal business name Basham, Edwin Wallace
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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