Individual
WALTER GREGORY WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
289 OLMSTED BLVD, SUITE 1, PINEHURST, NC 28374-8729
(910) 295-6007
(910) 215-0179
Mailing address
PO BOX 1630, PINEHURST, NC 28370-1630
(910) 295-6007
(910) 215-0179
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1162
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04816
BCBS PIN
NC
05
—
6000811
—
NC
Enumeration date
11/01/2006
Last updated
08/31/2007
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