Individual
MS. TRUDY P. WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
1660 OAK AVE, BOULDER, CO 80304-1257
(303) 447-2392
(303) 447-2392
Mailing address
1660 OAK AVE, BOULDER, CO 80304-1257
(303) 447-2392
(303) 447-2392
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2917
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2917
LPC
CO
Enumeration date
04/06/2007
Last updated
07/08/2007
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