MEDICARE: ROBIN WALTERS

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	101YP2500X	Professional Counselor	LGP17634	MD

General Provider Information

NPI Number	:	1801186655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN WALTERS

Provider Business Mailing Address
First Line	:	1673 TULIP AVE
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-2615
Country	:	US
Telephone Number	:	301-537-7556
Fax Number	:

Provider Business Practice Location Address
First Line	:	1673 TULIP AVE
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-2615
Country	:	US
Telephone Number	:	301-537-7556
Fax Number	:

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

Provider Enumeration Date	:	04/13/2011
Last Update Date	:	05/07/2026

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Directions to “ ROBIN WALTERS ” Practice Location

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