Individual
DR. CYNTHIA JEAN WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
8050 E HIGHWAY 191, SUITE 206, ODESSA, TX 79765-8613
(432) 312-1450
(432) 366-0295
Mailing address
8050 E HIGHWAY 191, SUITE 206, ODESSA, TX 79765-8613
(432) 312-1450
(432) 366-0295
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23786
TX
Other
Enumeration date
08/09/2006
Last updated
03/01/2012
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