MEDICARE: TANIKA WALKER

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	251S00000X	Community/Behavioral Health Agency	13898	MD

General Provider Information

NPI Number	:	1528641727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANIKA WALKER

Provider Business Mailing Address
First Line	:	6600 BELAIR RD STE 1A1B
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21206-1855
Country	:	US
Telephone Number	:	410-670-9861
Fax Number	:

Provider Business Practice Location Address
First Line	:	6600 BELAIR RD # 1A1B
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21206-1855
Country	:	US
Telephone Number	:	443-300-7261
Fax Number	:

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

Provider Enumeration Date	:	05/04/2021
Last Update Date	:	01/17/2023

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Directions to “ TANIKA WALKER ” Practice Location

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