MEDICARE: MRS. CINDY DIANE WALKER 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	2276	OK

General Provider Information

NPI Number	:	1588980981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CINDY DIANE WALKER SLP

Provider Business Mailing Address
First Line	:	8147 SHADOW LAKE DR
Second Line	:
City	:	BLANCHARD
State	:	OK
Zip	:	73010-4002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8147 SHADOW LAKE DR
Second Line	:
City	:	BLANCHARD
State	:	OK
Zip	:	73010-4002
Country	:	US
Telephone Number	:	405-245-6190
Fax Number	:

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

Provider Enumeration Date	:	04/12/2010
Last Update Date	:	04/12/2010

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Directions to “ MRS. CINDY DIANE WALKER SLP” Practice Location

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