Individual
ANNE S WALTERS
Active
Individual
ANNE S WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00385
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30176-1
BLUE CROSS
RI
01
—
406701
BLUE CHIP
RI
01
—
61-80056
UNITED BEHAVIORAL HEALTH
RI
05
—
AW10793
—
RI
Enumeration date
06/05/2006
Last updated
01/06/2011
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