Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Robert Ray Waller, PHD

Individual provider Clinical Psychologist · NPI 1760543508

Dr. Robert Ray Waller, PHD is a Clinical Psychologist in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2500 S Broadway Bldg 200
Edmond, OK 73013-4038
Phone: (405) 721-5145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 772 (OK)

Record details

NPI number1760543508
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 13, 2006
Last updated in NPPESJuly 8, 2007
Mailing address8304 Nw 113th St, Oklahoma City, OK 73162-2136

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