Mariah Wall, PSY. S., NCSP

NPI #1134942030 in Tierra Amarilla, New Mexico

Provider Information

NPI Number: 1134942030
Entity Type: Individual
Name: Mariah Wall, PSY. S., NCSP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: PSY. S., NCSP
Enumeration Date: Nov 7, 2024
Last Updated: Nov 7, 2024

Practice Location

Address: 158 STATE RD 531
Address 2: BLDG B
City: Tierra Amarilla
State: New Mexico
ZIP Code: 87575
Phone: (575) 588-7285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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