Individual
DR. WALTER B. BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
322 STEPHENSON AVE, SUITE B, SAVANNAH, GA 31405-5929
(912) 352-2992
(912) 352-3447
Mailing address
322 STEPHENSON AVE, SUITE B, SAVANNAH, GA 31405-5929
(912) 352-2992
(912) 352-3447
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001610
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00537248B
—
GA
Enumeration date
12/12/2006
Last updated
07/09/2007
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