Search › Virginia › 103TC0700X
Charles Waller, PSY.D
NPI 1659866556 · on the registry since 2018
Practice
- Address
- 8221 Willow Oaks Corporate Dr
Fairfax, VA 22031 - Phone
- (703) 559-3000
- Organisation at this address
- Neighborhood Health
Neighborhood Health
Genoa Healthcare Llc
Genoa Healthcare Llc
Transformative Counseling Services, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 246
Additional practice sites
- 8140 Ashton Ave Ste 200, Manassas, VA
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 101YM0800X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia