Individual
DR. MARTHA WALCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
6800 PARK TEN BLVD STE 212NORTH, SAN ANTONIO, TX 78213-4211
(210) 446-7049
Mailing address
2313 LOCKHILL SELMA RD STE 208, SAN ANTONIO, TX 78230-3007
(210) 446-7049
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23379
TX
103TC0700X
Clinical Psychologist
23379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285615005
NPI
—
Enumeration date
11/09/2005
Last updated
06/11/2019
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