Healthcare Provider Details

I. General information

NPI: 1285919282
Provider Name (Legal Business Name): CHRISTINA WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2011
Last Update Date: 03/23/2021
Certification Date: 02/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 E TONHAWA ST STE 104
NORMAN OK
73069-7255
US

IV. Provider business mailing address

123 E TONHAWA ST STE 108
NORMAN OK
73069-7255
US

V. Phone/Fax

Practice location:
  • Phone: 580-541-3241
  • Fax:
Mailing address:
  • Phone: 580-541-3241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6331
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: