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General NPI Number Information
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NPI Number | 1215074034
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Entity Type | Individual
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Provider Name | ELLEN WALKER PHD
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 270 WOLF CREEK RD
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City | WINTHROP
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State | WA
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Zip | 98862-9768
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Country | US
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Telephone | 360-738-4916
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Fax | 360-312-3205
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Provider Business Mailing Address
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Address Line | 57 SKYLINE CRST
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City | MONTEREY
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State | CA
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Zip | 93940-4111
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Country | US
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Telephone | 360-738-4916
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Fax | 360-312-3205
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY00002522
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY00002522
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY00002522
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License Number State | WA
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