MEDICARE: MRS. JENNIFER LEIGH WALKER M. S., CCC-SLP

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	235Z00000X	Speech-Language Pathologist	103443	TX

General Provider Information

NPI Number	:	1881957447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER LEIGH WALKER M. S., CCC-SLP

Provider Business Mailing Address
First Line	:	4658 COUNTY ROAD 2526
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-4443
Country	:	US
Telephone Number	:	214-505-1156
Fax Number	:

Provider Business Practice Location Address
First Line	:	4658 COUNTY ROAD 2526
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-4443
Country	:	US
Telephone Number	:	214-505-1156
Fax Number	:

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

Provider Enumeration Date	:	06/19/2012
Last Update Date	:	09/10/2024

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