IndividualActive
Aaron Wallis, PHD
NPI 1386406551 · Psychologist · Mancos, CO
Provider details
- NPI number
- 1386406551
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- PSY.0004513 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
13520 Road 42
Mancos, CO 81328-9046
Phone: (210) 380-8200
Approximate (ZIP-level) locationGet directions
Mailing address
13520 Road 42
Mancos, CO 81328-9046
Registry dates
- Enumerated
- 2024-01-24
- Last updated
- 2024-02-08
- Certified
- 2024-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.