DR. BETH WADDEL (NPI# 1881699536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881699536 |
| Entity Type | Individual |
| Full Name | DR. BETH WADDEL |
| Credential | PH.D. |
| Practice Address |
814 S Washington St Moscow ID 83843-3049 |
| Mailing Address |
302 State Route 27 Pullman WA 99164-0001 |
| Practice Telephone | 2808834022 |
| Mailing Telephone | 5093326000 |
| Enumeration Date | 2005-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY-249 | ID | Behavioral Health & Social Service Providers |
| Street Address |
814 S WASHINGTON ST |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720396252 | Chia-chi Hu | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2010-09-17 |
| 1164543666 | Kathy Lynn Kwiatkowski | Counselor | 814 S Washington St, Moscow, ID 83843-3049 | 2007-04-02 |
| 1376688895 | Karen Alice Knoff | Counselor | 814 S Washington St, Moscow, ID 83843-3049 | 2007-02-21 |
| 1174533525 | Alan J. Whitlock | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2006-08-08 |
| 1396762043 | Diana L Pals | Counselor | 814 S Washington St, Moscow, ID 83843-3049 | 2006-07-17 |
| 1336106830 | Dianne Ladon Phillips-miller | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2006-04-27 |
| 1437139607 | Carolyn J. Wyatt | Psychologist | 814 S Washington St, Moscow, ID 83843-3049 | 2006-01-22 |
| 1902808736 | Dave Potter | Counselor | 814 S Washington St, Moscow, ID 83843-3049 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902932262 | Laura C Richards | Psychologist | 129 W 3rd St, Moscow, ID 83843-2268 | 2007-02-23 |
| 1134264880 | Sharon Elayne Volansky Gerard | Psychologist | 515 Moscow Road, Moscow, VT 05662 | 2007-02-20 |
| 1992885735 | Martha A Kitzrow | Psychologist | 106 E 3rd St Ste 6, Moscow, ID 83843-2970 | 2006-10-16 |
| 1871792697 | Jamie C. Derrick | Psychologist | 875 Perimeter Dr, Dept. of Psychology, University of Idaho, Ms 3043, Moscow, ID 83844-9803 | 2007-07-12 |
| 1225155575 | Timothy Scott Rehnberg | Psychologist | 2301 W A St, Suite C, Moscow, ID 83843-4042 | 2007-03-23 |
| 1255423745 | Brian William Mcneill | Psychologist | 619 S Washington, Suite 301 Brian Mcneill Phd, Moscow, ID 83843 | 2006-09-29 |
| 1336249952 | Susan L. Simonds | Psychologist | 619 S Washington St, Suite 301, Moscow, ID 83843-3090 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815164 | Amanda Catherine Kearns | Psychologist | 1612 Kearney St, Idaho Falls, ID 83401-3055 | 2020-06-11 |
| 1457813719 | Natasha Megan Quinn | Psychologist | 500 W Fort St Bldg 114, Boise, ID 83702-4501 | 2019-04-04 |
| 1164996468 | Stephanie Elizabeth Stacy | Psychologist | 500 W Fort St Bldg 23, Boise, ID 83702-4501 | 2019-01-20 |
| 1720559248 | Kathleen M Moore | Psychologist | 918 Cattail Ct, Sandpoint, ID 83864-5094 | 2018-12-10 |
| 1427534395 | Hanna S Thomas | Psychologist | 1200 N Liberty St, Boise, ID 83704-8742 | 2018-07-13 |
| 1699120394 | Cady Williams | Psychologist | 3344 N 375 E, Rexburg, ID 83440-3437 | 2016-04-30 |
| 1477927846 | Grey Psychology Associates, Pllc | Psychologist | 1821 E Sherman Ave, Coeur D Alene, ID 83814-5352 | 2015-11-21 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1912332446 | Quality Care Counseling Center Inc. | Psychologist | 2316 N. Cole Rd, Suite A, Boise, ID 83704 | 2013-09-03 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.