| Doctor Name: | THOMAS MCQUADE WALTER |
| NPI Number: | 1194842047 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.C. |
| License Number: | 17133 |
| Business Practice Address: | 206 S Rogers St Suite 207 Waxahachie, TX - 751653683 |
| Business Phone Number: | 9723514141 |
| Business Fax Number: | |
| Mailing Address: | 105 Chapman Cir, WAXAHACHIE |
| State: | TX |
| Postal Code: | 751651917 |
| Phone Number: | 9723511113 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 17133 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |