DR. Mark Richard Waller, PH.D., MFT
NPI #1356521942 in Porterville, California
Provider Information
- NPI Number
- 1356521942
- Entity Type
- Individual
- Name
- DR. Mark Richard Waller, PH.D., MFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- PH.D., MFT
- Enumeration Date
- Nov 12, 2007
- Last Updated
- May 4, 2009
Practice Location
- Address
- 851 W MORTON AVE
- Address 2
- SUITE A
- City
- Porterville
- State
- California
- ZIP Code
- 93257-3185
- Phone
- (888) 401-6275
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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