Individual
DR. TERRY LYNNE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
517 HARWOOD RD STE 102, BEDFORD, TX 76021-4109
(817) 485-9003
(817) 788-2880
Mailing address
517 HARWOOD RD STE 102, BEDFORD, TX 76021-4109
(817) 485-9003
(817) 788-2880
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23114
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G63C
BCBS PROVIDER NUMBER
TX
Enumeration date
01/06/2007
Last updated
07/08/2007
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