Individual
ERIC DANIEL WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
515 3RD AVE, SUITE 100, SOUTH CHARLESTON, WV 25303-1344
(304) 744-8866
Mailing address
515 3RD AVE, SUITE 100, SOUTH CHARLESTON, WV 25303-1344
(304) 744-8866
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1113
WV
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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