DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR WALL & ASSOCIATES, LLC

MEDICARE: DR WALL & ASSOCIATES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1154952901
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR WALL & ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 2825 S MERIDIAN RD STE 150
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-7960
Country : US
Telephone Number : 208-412-5128
Fax Number : 208-955-2490
Provider Business Practice Location Address
First Line : 2825 S MERIDIAN RD STE 150
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-7960
Country : US
Telephone Number : 208-412-5128
Fax Number : 208-955-2490
Authorized Official
Title or Position : OWNER
Name : MISTY LYNN WALL
Credential : PHD, LCSW
Telephone Number : 208-297-9495
Provider Enumeration Date : 01/30/2020
Last Update Date : 05/27/2026

Similar Medicare Providers

1093705022 — MRS. ELAINE M. DAVIDSON M.D.
Practice Location Address:
2840 S MERIDIAN RD
MERIDIAN, ID
83642-7960
Practice Phone: 208-593-6393
Practice Fax: 208-593-6402
1518075852 — ERIN DEHAVEN PA-C
Practice Location Address:
2840 S MERIDIAN RD
MERIDIAN, ID
83642-7960
Practice Phone: 208-593-6393
Practice Fax: 208-593-6402
1942307640 — MR. ERIK J RICHARDSON D.O.
Practice Location Address:
2840 S MERIDIAN RD
MERIDIAN, ID
83642-7960
Practice Phone: 208-593-6393
Practice Fax: 208-593-6402
1972850212 — DR. DAVID VEREEN JESSOP JR. DOCTOR OF CHIROPRACT
Practice Location Address:
2857 S MERIDIAN RD STE 100
MERIDIAN, ID
83642-7960
Practice Phone: 208-888-5858
Practice Fax:
1922342377 — MARK ERIC MERRELL PA-C
Practice Location Address:
2840 S MERIDIAN RD
MERIDIAN, ID
83642-7960
Practice Phone: 208-593-6393
Practice Fax: 208-593-6402
1982029666 — REBECCA BECK NP
Practice Location Address:
2840 S MERIDIAN RD
MERIDIAN, ID
83642-7960
Practice Phone: 208-593-6396
Practice Fax: 208-593-6402

Directions to “DR WALL & ASSOCIATES, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.