Branch, Walter B.

Branch, Walter B. is an individual health care provider with primary practice located at 322 Stephenson Ave Suite B, Savannah GA 31405-5929. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Branch, Walter B. can be contacted via phone (912) 352-2992.

Contact Information

Primary practice address
322 Stephenson Ave Suite B Savannah GA 31405-5929
Fax: (912) 352-3447
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 001610 Georgia

Profile Details

NPI number 1922169143
LBN Legal business name Branch, Walter B.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922169143 NPPES
Georgia MEDICAID 00537248B

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