Organization
CYNTHIA WALL, PSYD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA WALL PSYD (OWNER)
(432) 312-1450
Entity
Organization
Contact information
Practice address
8050 E HIGHWAY 191, SUITE 206, ODESSA, TX 79765-8613
(432) 312-1450
Mailing address
8050 E HIGHWAY 191, SUITE 206, ODESSA, TX 79765-8613
(432) 312-1450
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23786
TX
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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