Healthcare Provider Details

I. General information

NPI: 1023758679
Provider Name (Legal Business Name): ALLYSON PAIGE WALKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6510 S ACADEMY BLVD STE 110
COLORADO SPRINGS CO
80906-8691
US

IV. Provider business mailing address

6510 S ACADEMY BLVD STE 110
COLORADO SPRINGS CO
80906-8691
US

V. Phone/Fax

Practice location:
  • Phone: 719-300-7123
  • Fax: 877-808-1658
Mailing address:
  • Phone: 719-300-7123
  • Fax: 877-808-1658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0077136
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number04-53318
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number042.0018550
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: