Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY WALTERS
Active Sole ProprietorMARY WALTERS is a Early Intervention Provider Agency healthcare provider located in LAKE CHARLES, Louisiana. NPI 1831717016 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · LAKE CHARLES, LA
Registration Details
- NPI Number
- 1831717016
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2020 (6.109389675695 yrs)
- Last Updated
- Jul 14, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
5876 MARK LEBLEU RDLAKE CHARLES, LA, 706154501Browse LA providers · Browse ZIP 70615
- Phone
- 3377944207
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
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.