Individual
WALTER B. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1925 E ORMAN AVE, SUITE G12, PUEBLO, CO 81004-3537
(719) 564-1800
(719) 564-1865
Mailing address
1925 E ORMAN AVE, SUITE G12, PUEBLO, CO 81004-3537
(719) 564-1800
(719) 564-1865
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
574
CO
Other
Enumeration date
06/29/2006
Last updated
07/16/2007
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