Individual
STEPHANIE WALLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1705 RONDO DR, GREENVILLE, NC 27858-5337
(785) 760-2655
Mailing address
1705 RONDO DR, GREENVILLE, NC 27858-5337
(785) 760-2655
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4722
NC
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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