Individual
DR. DARAH ELAINE WALLSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071.021040
IL
103TC0700X
Clinical Psychologist
Primary
4156
HI
103TC0700X
Clinical Psychologist
4187
NC
Other
Enumeration date
11/03/2011
Last updated
06/04/2025
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