Provider Demographics
NPI:1447981279
Name:WALLS, BRITTANY DANIELLE (PHD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:DANIELLE
Last Name:WALLS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:1615 E GEORGIA AVE UNIT 436
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-3239
Mailing Address - Country:US
Mailing Address - Phone:804-317-6770
Mailing Address - Fax:
Practice Address - Street 1:5323 HARRY HINES BLVD STOP 9070
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-7220
Practice Address - Country:US
Practice Address - Phone:214-648-4646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist