| Doctor Name: | MS. EVELYN JANET WALD |
| NPI Number: | 1841497963 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | PC000627 |
| Business Practice Address: | 241 S Pennsylvania Avenue Centre Hall, PA - 16828 |
| Business Phone Number: | 8143641130 |
| Business Fax Number: | |
| Mailing Address: | Po Box 98, 241 S Pennsylvania Avenue CENTRE HALL |
| State: | PA |
| Postal Code: | 16828 |
| Phone Number: | 8143641130 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | PC000627 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |