Individual
DR. LANEISHA S WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
616 E BLOOMINGTON ST, IOWA CITY, IA 52245-2600
(319) 337-6998
(319) 354-1679
Mailing address
616 E BLOOMINGTON ST, IOWA CITY, IA 52245-2600
(319) 337-6998
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/28/2024
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