JOHANNA CHRISTINE WALTHALL

COSTA MESA, CA
NPI1750604583
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY21948)
Enumeration Date2010-03-08
Last Update Date2021-12-06
Business Address
JOHANNA CHRISTINE WALTHALL Ph.D.
180 CABRILLO ST APT B19
COSTA MESA, CA 92627-3051
Phone number: 562-234-7568
Mailing Address
JOHANNA CHRISTINE WALTHALL Ph.D.
17046 MARYGOLD AVE
FONTANA, CA 92335-1722
Phone number: 909-427-6705
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