Mariah Wall, PSY S, NCSP is a 
Psychologist - School based in Tierra Amarilla, New Mexico. Mariah Wall is licensed to practice in * (Not Available) (license number ) and her current practice location is 
158 State Rd 531, Bldg B, Tierra Amarilla, New Mexico. She can be reached at her office (for appointments etc.) via phone at 
(575) 588-7285.
NPI number for Mariah Wall is 1134942030 and her current mailing address is 3415 Boquillas Ct, Katy, Texas. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134942030.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Mariah Wall | 
|---|
| Gender | Female | 
|---|
| Speciality | Psychologist - School | 
|---|
| Location | 158 State Rd 531, Tierra Amarilla, New Mexico | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1134942030
- Provider Enumeration Date: 11/07/2024
- Last Update Date: 11/07/2024
 
		 
		 
Medical Identifiers
		Medical identifiers for Mariah Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1134942030 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 103TS0200X | Psychologist - School | (* (Not Available)) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mariah Wall is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Mariah Wall, PSY S, NCSP 3415 Boquillas Ct,
 Katy, TX 77494-1391
 Ph: () -
 | Mariah Wall, PSY S, NCSP 158 State Rd 531, Bldg B,
 Tierra Amarilla, NM 87575
 Ph: (575) 588-7285
 | 
		
		 
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