NPI 1346076767
Phillip Walleck, PHD
Practice location
- Address
- 174 Watercolor Way # 103-238, Santa Rosa Beach, FL 32459-7350
- Phone
- (850) 660-8353
Registered specialties
Pastoral Counselor
Primary
Registry record
- NPI
- 1346076767
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Sep 2024
- Record last updated
- 11 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.