Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRA WALL
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · TOLEDO, OH
Registration Details
- NPI Number
- 1417773276
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 26, 2024 (1.4026415102116 yrs)
- Last Updated
- Nov 26, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1820 BERDAN AVETOLEDO, OH, 436134612Browse OH providers · Browse ZIP 43613
- Phone
- 4199082320
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
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.