Individual
STEPHANIE WALTHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT A
Contact information
Practice address
9430 RESEARCH BLVD STE 140, AUSTIN, TX 78759-6586
(918) 740-5151
Mailing address
9430 RESEARCH BLVD STE 140, AUSTIN, TX 78759-6586
(918) 740-5151
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203404
TX
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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