Individual
MRS. LOIS A WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 WESTFIELD AVE, WESTFIELD, NJ 07090-3374
(908) 347-6061
Mailing address
519 WESTFIELD AVE, WESTFIELD, NJ 07090-3374
(908) 347-6061
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
44SC05829700
NJ
Other
Enumeration date
11/10/2011
Last updated
12/04/2018
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