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NPI Code Detail

MEDICARE: WALKER PSYCHOLOGICAL SERVICES, LLC

MEDICARE: WALKER PSYCHOLOGICAL SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)0004283CO

General Provider Information

NPI Number : 1023517893
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALKER PSYCHOLOGICAL SERVICES, LLC
Provider Business Mailing Address
First Line : 4435 W 94TH AVE
Second Line :
City : WESTMINSTER
State : CO
Zip : 80031-3160
Country : US
Telephone Number : 970-231-6950
Fax Number :
Provider Business Practice Location Address
First Line : 5335 W 48TH AVE STE 500
Second Line :
City : DENVER
State : CO
Zip : 80212-2732
Country : US
Telephone Number : 720-446-9438
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. RICHELLE WALKER
Credential :
Telephone Number : 720-446-9437
Provider Enumeration Date : 02/07/2018
Last Update Date : 06/16/2022

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