Individual
DR. MARLO ELLIS WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2837 SATIN LEAF PARK, LEXINGTON, KY 40511-8962
(850) 377-4752
Mailing address
2837 SATIN LEAF PARK, LEXINGTON, KY 40511-8962
(850) 377-4752
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
200141871A
IN
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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