Ian T Walloch
Ian T Walloch is a Social Worker in Virginia Beach, Virginia. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
780 Lynnhaven Pkwy Ste 400Virginia Beach, VA 23452-7332
Phone: (224) 206-5001
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|---|
| Social Worker | Taxonomy 104100000X |
Record details
| NPI number | 1659834992 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 12, 2019 |
| Last updated in NPPES | January 17, 2022 |
| Certification date | January 17, 2022 |
| Mailing address | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 |
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