Individual
DR. HERBERT MAC WALLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1201 W INDUSTRIAL, SULPHUR SPRINGS, TX 75482
(903) 885-9803
(903) 439-6243
Mailing address
PO BOX 362, SULPHUR SPRINGS, TX 75483-0362
(903) 885-9803
(903) 439-6243
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24102
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114787801
—
TX
01
—
24102
TX STATE BOARD EXAMINER
TX
Enumeration date
03/19/2007
Last updated
07/21/2010
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