Individual
STEVEN O. WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCP
Contact information
Practice address
1315 STONE ST, GREAT BEND, KS 67530-4441
(785) 227-2774
Mailing address
1216 COLLEGE AVE, LARNED, KS 67550-2021
(620) 804-2864
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LCP 926
KS
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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