Individual
MIRIAM WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
710 S BROADWAY, WALNUT CREEK, CA 94596-5294
(925) 295-3924
Mailing address
710 S BROADWAY, WALNUT CREEK, CA 94596-5294
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY29700
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PSY29700
CA
Other
Enumeration date
05/07/2018
Last updated
12/30/2021
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