Healthcare Provider Details

I. General information

NPI: 1992923502
Provider Name (Legal Business Name): LENORE E WALKER PSYCHOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3860 SHERIDAN ST SUITE A
HOLLYWOOD FL
33021-3624
US

IV. Provider business mailing address

3860 SHERIDAN ST SUITE A
HOLLYWOOD FL
33021-3624
US

V. Phone/Fax

Practice location:
  • Phone: 954-322-0348
  • Fax: 954-322-0397
Mailing address:
  • Phone: 954-322-0348
  • Fax: 954-322-0397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPY 5102
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberPY 5102
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPY 5102
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License NumberPY 5102
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: