Individual
DR. CHRISTOPHER GLENN WALLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
520 S SEPULVEDA BLVD, 414, LOS ANGELES, CA 90049-3521
(818) 319-6265
Mailing address
520 S SEPULVEDA BLVD, 414, LOS ANGELES, CA 90049-3521
(818) 319-6265
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
28945
CA
Other
Enumeration date
01/26/2017
Last updated
03/02/2017
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