Doctor Name: | DARRELL G WALMER |
NPI Number: | 1548274046 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA LPC |
License Number: | PC003943 |
Business Practice Address: | 108 S Main Street Manheim, PA - 175451602 |
Business Phone Number: | 7176652675 |
Business Fax Number: | 7176656193 |
Mailing Address: | 108 S Main Street, MANHEIM |
State: | PA |
Postal Code: | 175451602 |
Phone Number: | 7176652675 |
Fax Number: | 7176656193 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC003943 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |