Individual
NATHAN T WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
(173) 387-5103
Mailing address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20043361A
IN
Other
Enumeration date
07/15/2019
Last updated
05/25/2023
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