Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 37735 | TX |
N | 103TC0700X | Clinical Psychologist | 37735 | TX |
N | 103G00000X | Clinical Psychologist | 3017 | CO |
N | 103TC0700X | Clinical Psychologist | 3017 | CO |
N | 103G00000X | Clinical Psychologist | 37735 | TX |
N | 103TC0700X | Clinical Psychologist | 37735 | TX |
N | 103TH0004X | Health Psychologist | 3017 | CO |
Y | 103TR0400X | Rehabilitation Psychologist | 37735 | TX |
NPI | 1134384316 |
---|---|
Provider Name | Dr. Alison R Walls |
First Address | Rockport, TX 78382-6897 |
Second Address | Rockport, TX 78382-6897 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2008 |
Last Update Date | 21/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3741977 | (05) | TX |