Individual provider · Type 1 NPI
Johanna Christine Walthall, PhD
Clinical Psychologist · Costa Mesa, CA
Practice location
180 Cabrillo St Apt B19
Costa Mesa, CA 92627-3051
Mailing address
17046 Marygold Ave
Fontana, CA 92335-1722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PSY21948 (CA) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1750604583
Johanna Christine Walthall, PhD's National Provider Identifier is 1750604583, issued on Mar 8, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Costa Mesa, CA. The record was last updated on Dec 6, 2021.