| Doctor Name: | ROSE HERR WAYLAND |
| NPI Number: | 1578744157 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.MIN, LPC |
| License Number: | |
| Business Practice Address: | 46 Fishhook Ln Hedgesville, WV - 254276575 |
| Business Phone Number: | 3047549720 |
| Business Fax Number: | |
| Mailing Address: | 715 G St Se, WASHINGTON |
| State: | DC |
| Postal Code: | 200032853 |
| Phone Number: | 2025470141 |
| Fax Number: | |
| NPI Enumeration Date: | 11/23/2007 |
| NPI Last Update Date: | 11/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |