EDWIN WALLACE BASHAM

AMARILLO, TX
NPI1962537035
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: TX  22625)
Enumeration Date2007-02-22
Last Update Date2007-07-09
Business Address
-- EDWIN WALLACE BASHAM Ed.D.
3505 OLSEN BLVD SUITE 224
AMARILLO, TX 79109-3042
Phone number: 806-354-0411
Mailing Address
-- EDWIN WALLACE BASHAM Ed.D.
3505 OLSEN BLVD SUITE 224
AMARILLO, TX 79109-3042
Phone number: 806-354-0411
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