Individual
ARTHUR M. WALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
10929 NW 35TH PL, GAINESVILLE, FL 32606-4972
(352) 339-5197
Mailing address
9434 SW 21ST AVE, GAINESVILLE, FL 32607-3243
(352) 339-5197
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
1-03-1050
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686363996
—
FL
Enumeration date
09/10/2008
Last updated
09/10/2008
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