Organization
WALLER PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY A WALLER SR. EDD, LPC (OWNER/DIRECTOR)
(703) 675-7378
Entity
Organization
Contact information
Practice address
11007 SWEET APPLE CT, UPPER MARLBORO, MD 20772-7103
(703) 675-7378
Mailing address
11007 SWEET APPLE CT, UPPER MARLBORO, MD 20772-7103
(703) 675-7378
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/11/2020
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