Individual
DR. CARY N WALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
800 COMPTON RD UNIT 1, CINCINNATI, OH 45231-3846
(513) 521-4405
Mailing address
3038 PENROSE PL, CINCINNATI, OH 45211-6718
(513) 484-5655
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1430
KY
103TC0700X
Clinical Psychologist
Primary
6252
OH
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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