| Doctor Name: | EBAN WALTERS |
| NPI Number: | 1023309085 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 1150 |
| Business Practice Address: | 4401 Veterans Memorial Blvd Suite 201 Metairie, LA - 700065340 |
| Business Phone Number: | 5043023226 |
| Business Fax Number: | 5042670298 |
| Mailing Address: | 7608 Willow St, NEW ORLEANS |
| State: | LA |
| Postal Code: | 701184052 |
| Phone Number: | 5043023226 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2011 |
| NPI Last Update Date: | 06/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1150 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |