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NPI Code Detail

MEDICARE: MRS. DEWANDA FAYE WALKER CCC-SLP

MEDICARE: MRS. DEWANDA FAYE WALKER CCC-SLP
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
1235Z00000XSpeech-Language PathologistSP#2406AR

General Provider Information

NPI Number : 1134278195
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEWANDA FAYE WALKER CCC-SLP
Provider Business Mailing Address
First Line : 2520 W MAIN ST
Second Line :
City : JACKSONVILLE
State : AR
Zip : 72076-4214
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 905 N REDMOND RD
Second Line :
City : JACKSONVILLE
State : AR
Zip : 72076-3622
Country : US
Telephone Number : 501-982-4578
Fax Number : 501-982-1253
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. DEWANDA FAYE WALKER CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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