Organization
MARTHA WALCH, PHD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA WALCH PH/D. (OWNER)
(210) 446-7049
Entity
Organization
Contact information
Practice address
6800 PARK TEN BLVD., SUITE 212 NORTH, SAN ANTONIO, TX 78213
(210) 409-7049
Mailing address
2313 LOCKHILL SELMA RD STE 208, SAN ANTONIO, TX 78230-3007
(210) 446-7049
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285615005
NPI
—
Enumeration date
06/08/2019
Last updated
06/08/2019
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