Individual
MONICA WALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 S 1100 W, WESTVILLE, IN 46391-9335
(219) 785-2511
Mailing address
4657 N CANFIELD AVE, NORRIDGE, IL 60706-4414
(773) 575-5841
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043188A
IN
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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