MEDICARE: DR. ANNELIZABETH WALKER CARD PH.D.

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	103TC0700X	Clinical Psychologist	525	NE
2	103TC1900X	Counseling Psychologist	PSY.0006208	NE
3	103TF0200X	Forensic Psychologist	PSY.0006208	CO
4	103TF0200X	Forensic Psychologist	525	NE
5	103TP2701X	Group Psychotherapy Psychologist	PSY.0006208	NE
6	103TA0400X	Addiction (Substance Use Disorder) Psychologist	PSY.0006208	NE
7	103T00000X	Psychologist	PSY.0006208	NE
8	103TB0200X	Cognitive & Behavioral Psychologist	PSY.0006208	CO
9	103TC0700X	Clinical Psychologist	PSY.0006208	CO

General Provider Information

NPI Number	:	1700566080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNELIZABETH WALKER CARD PH.D.

Provider Business Mailing Address
First Line	:	120 EDGEVIEW DR APT 6306
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-8098
Country	:	US
Telephone Number	:	720-751-6620
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 EDGEVIEW DR APT 6306
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-8098
Country	:	US
Telephone Number	:	720-751-6620
Fax Number	:

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

Provider Enumeration Date	:	07/20/2023
Last Update Date	:	06/18/2024

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