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General NPI Number Information
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NPI Number | 1811104235
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Entity Type | Individual
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Provider Name | BRUCE W WALKER PHD, LPC, LMFT
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 11615 ANGUS RD SUITE 218
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City | AUSTIN
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State | TX
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Zip | 78759-4078
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Country | US
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Telephone | 512-492-6200
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Fax | 512-492-6201
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Provider Business Mailing Address
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Address Line | 11615 ANGUS RD SUITE 218
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City | AUSTIN
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State | TX
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Zip | 78759-4078
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Country | US
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Telephone | 512-492-6200
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Fax | 512-492-6201
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10869
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 3576
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License Number State | TX
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