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Organization

MAGNOLIA PSYCHOLOGICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TARYN WALKER PSYD (OWNER)
(571) 293-1139
Entity
Organization

Contact information

Practice address
681 WINTERGREEN DR, PURCELLVILLE, VA 20132-3288
(956) 357-6144
Mailing address
PO BOX 659, PURCELLVILLE, VA 20134-0659

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
03/20/2023
Last updated
03/20/2023
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