Individual
PATRICIA J WALZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1401 S WALDRON RD STE 206, FORT SMITH, AR 72903-2590
(479) 785-1995
(479) 308-3971
Mailing address
1401 S WALDRON RD STE 206, FORT SMITH, AR 72903-2590
(479) 785-1995
(479) 308-3971
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
90-18P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118624719
—
AR
Enumeration date
09/26/2006
Last updated
12/20/2017
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