Individual
DR. ROBERT WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1350 CONNECTICUT AVE NW STE 205, WASHINGTON, DC 20036-1723
(202) 536-8046
Mailing address
5618 NEBRASKA AVE NW, WASHINGTON, DC 20015-1258
(202) 536-8046
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY1000517
DC
103TC0700X
Clinical Psychologist
Primary
SI03790
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203055600
PSYCHOLOGIST
DC
01
—
203055600
PSYCHOLOGIST
NJ
Enumeration date
05/22/2007
Last updated
04/27/2020
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