Individual provider · Type 1 NPI
Walter John Krug, M.A.
Intellectual & Developmental Disabilities Psychologist · Wilmington, NC
NPI number
1225153158
Active
Practice location
3311 Burnt Mill Dr
Wilmington, NC 28403-2654
Fax (910) 251-2652
Mailing address
4145 Spirea Dr Apt C
Wilmington, NC 28403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 0590 (NC) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
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Other intellectual & developmental disabilities psychologist providers in Wilmington
About NPI 1225153158
Walter John Krug, M.A.'s National Provider Identifier is 1225153158, issued on Mar 20, 2007. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Wilmington, NC. The record was last updated on Jul 8, 2007.