Healthcare Provider Details

I. General information

NPI: 1194412544
Provider Name (Legal Business Name): ZEEYON WALKER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 04/18/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PRANA MIND CENTER 459 W MACARTHUR BLVD
OAKLAND CA
95609
US

IV. Provider business mailing address

1652 W TEXAS ST STE 248
FAIRFIELD CA
94533-5952
US

V. Phone/Fax

Practice location:
  • Phone: 510-684-3851
  • Fax:
Mailing address:
  • Phone: 707-427-6425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSB9402732
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPSB94027342
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: