Individual
DR. TAMARA LYNN WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DR., SAN DIEGO, CA 92161-0001
(858) 552-8585
(858) 552-7414
Mailing address
3350 LA JOLLA VILLAGE DR., VA SAN DIEGO HEALTHCARE SYSTEM, SAN DIEGO, CA 92161
(858) 552-8585
(858) 552-7414
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY15385
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY15385
CA
103TA0700X
Adult Development & Aging Psychologist
PSY15385
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY15385
CA
103TC0700X
Clinical Psychologist
PSY15385
CA
103TP2701X
Group Psychotherapy Psychologist
Primary
PSY15385
CA
Other
Enumeration date
07/13/2006
Last updated
09/11/2025
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