| NPI | 1447303870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER RAND WALKER Psychologist 208-883-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY281) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |