Individual provider · Type 1 NPI
Mark Wall, PhD
Professional Counselor · Dallas, TX
NPI number
1265617484
Active
Practice location
5030 Maple Springs Blvd
Dallas, TX 75235-8321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | LPA-4347 (TX) |
| Professional Counselor Primary | 101YP2500X | LPC 01604 (TX) |
| Professional Counselor | 101YP2500X | APA DIPLOMATE 4720 (TX) |
Professional Counselor: Definition to come...
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About NPI 1265617484
Mark Wall, PhD's National Provider Identifier is 1265617484, issued on Jan 7, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Sep 20, 2026.