MEDICARE: LAURA WALKER M.S., 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
1	235Z00000X	Speech-Language Pathologist	110325	TX

General Provider Information

NPI Number	:	1447026679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA WALKER M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	3420 PURDUE AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-7637
Country	:	US
Telephone Number	:	214-315-5188
Fax Number	:

Provider Business Practice Location Address
First Line	:	6565 HILLCREST AVE STE 260
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-1840
Country	:	US
Telephone Number	:	214-315-5188
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2023
Last Update Date	:	11/29/2023

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Directions to “ LAURA WALKER M.S., CCC-SLP” Practice Location

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