Organization
DR JAMIE WALTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE WALTER PSYD (OWNER/PSYCHOLOGIST)
(847) 477-1967
Entity
Organization
Contact information
Practice address
958 N LEAVITT ST UNIT 3, CHICAGO, IL 60622-4809
(847) 477-1967
Mailing address
958 N LEAVITT ST UNIT 3, CHICAGO, IL 60622-4809
(847) 477-1967
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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