Individual
DR. WALTER STANLEY MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34 PARK ST, NEW HAVEN, CT 06519-1109
(203) 980-4950
Mailing address
301 N SCHILLER ST, LITTLE ROCK, AR 72205-4445
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
55314
CT
Other
Enumeration date
05/31/2012
Last updated
05/25/2017
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