DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. THORNTON W.E.D. WALLS III, CPSS

Active Sole Proprietor

MR. THORNTON W.E.D. WALLS III, CPSS is a Peer Specialist healthcare provider located in DETROIT, Michigan. NPI 1972382612 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · DETROIT, MI

Registration Details

NPI Number
1972382612
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2023 (2.8680128139351 yrs)
Last Updated
Sep 22, 2023
Sole Proprietor
Yes

Practice Information

Address
12010 LINWOOD ST
DETROIT, MI, 482061108
Browse MI providers · Browse ZIP 48206
Phone
3138671090
Fax
3138670706
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in DETROIT, MI

Name Credential NPI
JOHN LEWIS EBERHART CAC-I 1043302730
MR. RICARDO JAMES CALHOUN COUNSELOR 1811295777
MR. WILLIAM RYDALE ERVIN 1447590971
DERRICK STRANGE 1659792216
MS. STEPHANIE RUTH HAMPTON 1497176051
RENEE FYFE CPSS & CPRC 1114348471
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.