Tonya Renee Wall, MSW

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

SC61427370 Issued in WA

Practice address

4526 Federal Ave
Everett, WA 98203-2132

Phone

(425) 349-6200

NPI assigned

Nov 25, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1205652252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 73RD DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707002",
            "telephone_number": "425-268-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4526 FEDERAL AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032132",
            "telephone_number": "425-349-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "TONYA",
        "middle_name": "RENEE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "WA",
            "license": "SC61427370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selena Walker
• Tralonda Olivia Walker
• Valla Penrose Walker, PSY.D.
• Dylan Lee Wall
• Gary A Wall Jr., D.D.S.
• Jennifer Wallace
• Kathryn Ann Wallace, R.N.
• Kent William Wallace, PA-C, ARNP
• Robin L Wallace, ARNP
• Sarah Wallace

• Cognitive & Behavioral Psychologist in Everett, WA
• Providers in Everett, WA by specialty
• Cognitive & Behavioral Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.