Individual
JOHN EUGENE WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
S. PSY.S
Contact information
Practice address
2610 US 20, NASSAU, NY 12123-1815
(518) 766-2391
Mailing address
2610 US 20, NASSAU, NY 12123-1815
(518) 766-2391
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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