Individual
REBECCA WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
320 KING OF PRUSSIA RD, RADNOR, PA 19087-4440
(215) 254-1580
Mailing address
320 KING OF PRUSSIA RD, RADNOR, PA 19087-4440
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016612
PA
Other
Enumeration date
04/10/2009
Last updated
08/21/2024
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