Organization
RANDOLPH WALTERS & ASSOCIATES, LLC
Active
Organization
RANDOLPH WALTERS & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDOLPH WINDELL WALTERS PSY.D, LPC (FOUNDER/DIRECTOR)
(610) 639-1729
Entity
Organization
Contact information
Practice address
1989 N 63RD ST, SUITE 200, PHILADELPHIA, PA 19151-2607
(610) 639-1729
(215) 878-8998
Mailing address
1989 N 63RD ST, SUITE 200, PHILADELPHIA, PA 19151-2607
(610) 639-1729
(215) 878-8998
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PC002890
PA
Other
Enumeration date
01/27/2013
Last updated
01/27/2013
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