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Individual

DR. GINA LESLIE WALTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
650 E INDIAN SCHOOL RD, PSYCHOLOGY DEPARTMENT 116B, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
613 W SANDRA TER, 613 W SANDRA TERR, PHOENIX, AZ 85023-7409
(602) 298-2475

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3391
AZ
103T00000X
Psychologist
Primary
3391
AZ

Other

Enumeration date
03/23/2007
Last updated
09/11/2025
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