Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Elizabeth Waller, PHD

Individual provider Clinical Psychologist · NPI 1154402113

Mary Elizabeth Waller, PHD is a Clinical Psychologist in Beachwood, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
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

3619 Park East Dr Ste 313
Beachwood, OH 44122-4330
Phone: (216) 591-0500
Fax: (216) 591-0550
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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 4312 (OH)

Record details

NPI number1154402113
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESJuly 8, 2007

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