Individual
DIANA L WALCUTT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7600 OSLER DR, SUITE 211, TOWSON, MD 21204-7735
(410) 337-8883
(410) 337-8961
Mailing address
125 VERSAILLES CIR, TOWSON, MD 21204-6923
(410) 828-1991
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3938
MD
Other
Enumeration date
07/11/2005
Last updated
07/08/2007
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