Healthcare Provider Details

I. General information

NPI: 1578341939
Provider Name (Legal Business Name): BRITTANY MARIE WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITTANY M CURL

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 3RD ST
LA VERNE CA
91750-5201
US

IV. Provider business mailing address

PO BOX 3502
SAN DIMAS CA
91773-7502
US

V. Phone/Fax

Practice location:
  • Phone: 909-593-2581
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number153363
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: