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NPI Code Detail

MEDICARE: DR. KRISTI CHLOE WALL PSYD

MEDICARE:  DR. KRISTI CHLOE WALL  PSYD
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
1103T00000XPsychologist654SD
2103G00000XClinical Neuropsychologist0004944CO

General Provider Information

NPI Number : 1558608570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTI CHLOE WALL PSYD
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7511 S LOUISE AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57108-5997
Country : US
Telephone Number : 605-312-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2013
Last Update Date : 09/23/2025

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Directions to “ DR. KRISTI CHLOE WALL PSYD” Practice Location

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