Marjorie Gans Walters, PHD Valid NPI
Individual provider · Psychologist · San Rafael, CA
- NPI
- 1992719710
- Type
- Individual (Type 1)
- Primary specialty
- Psychologist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103T00000X
- License number
- PSY5200 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-07-28
- Last updated
- 2007-07-08
Practice location
711 D Street, Suite 204
San Rafael, CA 94901-3704
(415) 457-9192