Individual
MR. CHRIS WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.
Contact information
Practice address
1900 SILVER LAKE ROAD NW, SUITE 110, NEW BRIGHTON, MN 55112
(651) 628-9566
(651) 628-0411
Mailing address
1900 SILVER LAKE ROAD NW, SUITE 110, NEW BRIGHTON, MN 55112
(651) 379-1764
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1618
MN
103TC1900X
Counseling Psychologist
1618
MN
Other
Enumeration date
09/27/2006
Last updated
03/01/2017
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