MEDICARE: DR. STEVEN C 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	103T00000X	Psychologist	PY 8753	FL

General Provider Information

NPI Number	:	1720262751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN C WALKER PSY.D.

Provider Business Mailing Address
First Line	:	105 S EDISON AVE
Second Line	:	SUITE 2600
City	:	TAMPA
State	:	FL
Zip	:	33606-1917
Country	:	US
Telephone Number	:	813-938-3926
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 S EDISON AVE
Second Line	:	SUITE 2600
City	:	TAMPA
State	:	FL
Zip	:	33606-1917
Country	:	US
Telephone Number	:	813-938-3926
Fax Number	:

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

Provider Enumeration Date	:	12/27/2007
Last Update Date	:	12/13/2016

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