Organization
LYNDA S. WALLS, PH.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNDA SMITH WALLS PHD (OWNER)
(904) 536-8095
Entity
Organization
Contact information
Practice address
931 CASSAT AVE, JACKSONVILLE, FL 32205-4857
(904) 388-2828
Mailing address
13018 VIBURNUM DR N, JACKSONVILLE, FL 32246-1144
(904) 536-8095
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4887
FL
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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