Individual
DR. FAWN AUTUMN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(314) 590-2598
Mailing address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY61078077
WA
Other
Enumeration date
11/18/2018
Last updated
07/09/2024
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