Wafa Amayreh
Individual provider Active NPI Clinical Psychologist · Jbsa Lackland, TX
NPI 1720558398 · NPPES record last updated Feb 5, 2025
Key facts
- NPI
- 1720558398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0810006332 (VA)
- Practice address
- 1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638 - Phone
- (317) 448-5138
- NPI assigned
- Nov 27, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810006332 | VA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810006332 | VA | Yes |
Addresses
Primary practice location
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Mailing address
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Other providers in Jbsa Lackland, TX
- Muhammad I Ali
- Lior Aljadeff
- Spencer William Alsup
- Selene B Alvarado-Killmer
- Michael Alvillar
- Craig Ameduri
- Corey Rawlins Anderson
- Erik Anderson
- William Michael Anderson
- Kristofer Glynn Andren
All providers in Jbsa Lackland, TX · Clinical Psychologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.