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Physician Compare National (NPI:1497883060)

HEALTHCARE PROVIDER: MICHAEL CLAUDE WALKER PSY.D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1497883060
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4789847245
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120519000049
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WALKER
Individual professional last name
Provider First Name MICHAEL
Individual professional first name
Provider Middle Name CLAUDE
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2001
Individual professional's medical school graduation year
Primary Specialty PSYCHOLOGIST, CLINICAL
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 5790 MAGNOLIA AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 202
Group Practice or individual's line 2 address
City RIVERSIDE
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 925061874
Group Practice or individual's zip code (9 digits when available)
Phone Number 9092291253
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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