Individual
CARLA A. WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LCP
Contact information
Practice address
2924 BROOK RD, RICHMOND, VA 23220-1215
(804) 828-2467
(804) 628-1236
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008301
VA
Other
Enumeration date
09/16/2021
Last updated
03/15/2024
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