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NPI Code Detail

MEDICARE: DR. DEIDRA BEATRICE WALKER-QUARTERMAN PHD

MEDICARE: DR. DEIDRA BEATRICE WALKER-QUARTERMAN PHD
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
1101Y00000XCounselorVA
2101YM0800XMental Health CounselorDC

General Provider Information

NPI Number : 1285967554
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEIDRA BEATRICE WALKER-QUARTERMAN PHD
Provider Business Mailing Address
First Line : 3638 THOMASSON CROSSING DR
Second Line :
City : TRIANGLE
State : VA
Zip : 22172-2046
Country : US
Telephone Number : 912-604-5538
Fax Number :
Provider Business Practice Location Address
First Line : 3300 PENNSYLVANIA AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-2408
Country : US
Telephone Number : 202-878-6626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2009
Last Update Date : 03/06/2023

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