Lynda Smith Walls in Jacksonville - Clinical

Lynda Smith Walls - NPI 1184722217

Lynda Smith Walls is a Clinical in Jacksonville, Florida. Lynda Smith Walls practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lynda Smith Walls is 1184722217. The last update date is 2007-07-08.

Lynda Smith Walls's current location address is 13018 Viburnum Dr N, Jacksonville, Florida. You can contact this provider via phone number 9049928942 and fax number 9047310085. The mailing address for Lynda Smith Walls is 13018 Viburnum Dr N, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Lynda Smith Walls
Address 13018 Viburnum Dr N, Jacksonville, Florida
Phone Number 9049928942
Fax Number 9047310085
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1184722217
Provider Enumeration Date 2006-09-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 13018 Viburnum Dr N
City Jacksonville
State Florida (FL)
Post Code 322461144
Phone Number 9049928942
Fax Number 9047310085

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PY 4887
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
455 AL LICENSE NUMER
PY4887 FL LICENSE NUMBER

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FAQs about Lynda Smith Walls

What is the unique identifier code issued to Lynda Smith Walls by the Centers for Medicare & Medicaid Services (CMS)?

The Lynda Smith Walls has been assigned the NPI (National Provider Identifier) 1184722217. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Lynda Smith Walls is geographically located?

The Lynda Smith Walls is physically situated at the following location: 13018 Viburnum Dr N, Jacksonville, FL, 322461144.

What is Lynda Smith Walls's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lynda Smith Walls's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

When did the Lynda Smith Walls receive its 1184722217?

The Lynda Smith Walls was issued its 1184722217 on 2006-09-20, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Lynda Smith Walls, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lynda Smith Walls, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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