DR. Phyllis Annette Walters

NPI #1326684044 in Bonita Springs, Florida

Provider Information

NPI Number: 1326684044
Entity Type: Individual
Name: DR. Phyllis Annette Walters
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Enumeration Date: Nov 19, 2019
Last Updated: Nov 19, 2019

Practice Location

Address: 9220 BONITA BEACH RD SE STE 222
City: Bonita Springs
State: Florida
ZIP Code: 34135-4235
Phone: (239) 404-9396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - School — School	103TS0200X	Primary

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