MEDICARE: DR. MCKENZIE L WALKER PSY.D.

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
1	101YP2500X	Professional Counselor	PC004653	PA
2	103TC0700X	Clinical Psychologist	PS017030	PA

General Provider Information

NPI Number	:	1306025887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MCKENZIE L WALKER PSY.D.

Provider Business Mailing Address
First Line	:	600 SHIRLEY DR
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17042-7652
Country	:	US
Telephone Number	:	717-810-1974
Fax Number	:	717-704-8476

Provider Business Practice Location Address
First Line	:	1821 OREGON PIKE STE 206
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-6466
Country	:	US
Telephone Number	:	717-810-1974
Fax Number	:	717-704-8476

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2007
Last Update Date	:	06/03/2026

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