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Individual

SHARON D WALTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
AL-1228
AL
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
Primary
1228
AL

Other

Enumeration date
04/14/2011
Last updated
09/29/2011
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