Organization
HEARTS AND MINDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC S. WALTER PHD (PRESIDENT)
(602) 944-0480
Entity
Organization
Contact information
Practice address
7220 N 16TH ST, SUITE G, PHOENIX, AZ 85020-5253
(602) 944-0480
(602) 944-0482
Mailing address
7220 N 16TH ST, SUITE G, PHOENIX, AZ 85020-5253
(602) 944-0480
(602) 944-0482
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PHD856
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
732512001
—
AZ
Enumeration date
06/20/2006
Last updated
02/13/2013
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