Individual
DR. KATHLEEN ELIZABETH WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5523 GREENE ST, PHILADELPHIA, PA 19144-2805
(215) 843-3331
Mailing address
5523 GREENE ST, PHILADELPHIA, PA 19144-2805
(215) 843-3331
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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