MEDICARE: MRS. EMORFIA AIMEE PAULINE WALKER LPC

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	PC007230	PA

General Provider Information

NPI Number	:	1700217114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMORFIA AIMEE PAULINE WALKER LPC

Provider Business Mailing Address
First Line	:	1607 MACK ST
Second Line	:
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-1329
Country	:	US
Telephone Number	:	412-398-6094
Fax Number	:

Provider Business Practice Location Address
First Line	:	1607 MACK ST
Second Line	:
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-1329
Country	:	US
Telephone Number	:	412-398-6094
Fax Number	:

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

Provider Enumeration Date	:	12/10/2013
Last Update Date	:	12/10/2013

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