Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CAROL LYNN GATES WALLING, M.ED, , COMS
Active Sole ProprietorMS. CAROL LYNN GATES WALLING, M.ED, , COMS is a Local Education Agency healthcare provider located in CHAMPAIGN, Illinois. NPI 1386958379 is currently active in the NPPES registry. Verify at CMS.
Local Education Agency · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1386958379
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2010 (15.989338980162 yrs)
- Last Updated
- Aug 2, 2010
- License
-
857266 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1109 PLYMOUTH DR APT BCHAMPAIGN, IL, 618216567Browse IL providers · Browse ZIP 61821
- Phone
- 7174200145
- Primary Specialty
-
Local Education Agency
251300000X
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.