Healthcare Provider Details

I. General information

NPI: 1730483231
Provider Name (Legal Business Name): MS. NANCY DIONNE WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PROF. NANCY DIONNE WALKER-MCCAIN

II. Dates (important events)

Enumeration Date: 12/27/2010
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 TOMMY HENRICH DR NW
MASSILLON OH
44647-5402
US

IV. Provider business mailing address

PO BOX 185
GIRARD OH
44420-0185
US

V. Phone/Fax

Practice location:
  • Phone: 330-832-9582
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2607411
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: