Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AARON LEE WALLIS, PHD
Active Sole ProprietorDR. AARON LEE WALLIS, PHD is a Psychologist healthcare provider located in MANCOS, Colorado. NPI 1386406551 is currently active in the NPPES registry. Verify at CMS.
Psychologist · MANCOS, CO
Registration Details
- NPI Number
- 1386406551
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2024 (2.6001709164398 yrs)
- Last Updated
- Feb 8, 2024
- Licenses
-
PSY.0004513 (CO)PSY.0004513 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13520 ROAD 42MANCOS, CO, 813289046Browse CO providers · Browse ZIP 81328
- Phone
- 2103808200
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.