Walters, Gina Leslie

Walters, Gina Leslie is an sole proprietor health care provider with primary practice located at 650 E Indian School Rd Psychology Department 116B, Phoenix AZ 85012-1839. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Walters, Gina Leslie can be contacted via phone (602) 277-5551.

Contact Information

Primary practice address
650 E Indian School Rd Psychology Department 116B Phoenix AZ 85012-1839
Phone: (602) 277-5551
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3391 Arizona
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3391 Arizona

Profile Details

NPI number 1700903945
LBN Legal business name Walters, Gina Leslie
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 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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