Individual
DR. ROBERT WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-7956
Mailing address
4538 N ARTESIAN AVE APT 2, CHICAGO, IL 60625-3004
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008169
IL
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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