Female

Judy A. Walz RN

Psychologist in Mequon, WI(View on Map)

Full Name

Judy A Walz RN

NPI Number

1104995141

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/06/2006

Specialties

(Taxonomies)

Code

103T00000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

47238030

Contact
Information

Purpose

Mailing
Location

Address

10500 NORTH PORT WASHINGTON ROAD
10500 NORTH PORT WASHINGTON ROAD

City

Mequon
Mequon

State

WI
WI

Postal Code

53092
53092

Country

US
US

Telephone Number

(262) 240-0427
(262) 240-0427

Identifiers

Identifier

40939000

Identifier State

WI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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