Edwin Wallace Basham Jr., ED.D.

Psychologist · Amarillo, TX

Individual Active NPI

NPI number 1962537035

Practice location

3505 Olsen Blvd
Suite 224
Amarillo, TX 79109-3042
Phone
(806) 354-0411
Fax
(806) 354-0466

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NPI record

NPI
1962537035
Entity type
Individual (Type 1)
Enumeration date
February 22, 2007
Last updated
July 9, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 22625 TX

About Edwin Basham

Edwin Wallace Basham Jr., ED.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 3505 Olsen Blvd, Suite 224, Amarillo, TX 79109-3042. The NPI number 1962537035 was assigned on February 22, 2007 and the record was last updated on July 9, 2007.

Edwin Basham lists a license in the registry: #22625 (TX) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edwin Wallace Basham Jr., ED.D.?

The NPI number is 1962537035.

What is the phone number of Edwin Basham?

The phone number listed for the practice location is (806) 354-0411.

Where is Edwin Basham located?

3505 Olsen Blvd, Suite 224, Amarillo, TX 79109-3042.

What is the taxonomy code for Edwin Basham?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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