Individual
TIMOTHY E WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1229 C AVE E, #300, OSKALOOSA, IA 52577-4246
(641) 672-3159
(641) 672-3259
Mailing address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3159
(641) 672-3259
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
I9827
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I9827
INDIVIDUAL LICENSE
IA
Enumeration date
07/31/2006
Last updated
07/08/2007
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