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Individual

DR. DAVID H WALTER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1840 N HACIENDA BLVD, SUITE 2, LA PUENTE, CA 91744-1143
(626) 919-8493
(626) 918-5487
Mailing address
11728 WILSHIRE BLVD, STE B-306, LOS ANGELES, CA 90025-6473
(310) 479-2512
(626) 918-5487

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY8719
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PSY087191
CA
05
PSY087192
CA
Enumeration date
09/27/2005
Last updated
07/08/2007
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