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Individual

WALTER HARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
4314 MEDICAL PKWY, STE. 201, AUSTIN, TX 78756-3334
(512) 459-4315
(512) 453-4318
Mailing address
PO BOX 160026, AUSTIN, TX 78716-0026
(512) 459-4315
(512) 459-4318

Taxonomy

Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
22975
TX

Other

Enumeration date
05/09/2007
Last updated
07/08/2007
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