Doctor Name: | KARYN WALTERS |
NPI Number: | 1033563093 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SW13490 |
Business Practice Address: | 17105 Rainbow Ter Odessa, FL - 335562107 |
Business Phone Number: | 8138382929 |
Business Fax Number: | |
Mailing Address: | 17105 Rainbow Ter, ODESSA |
State: | FL |
Postal Code: | 335562107 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/15/2016 |
NPI Last Update Date: | 04/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW13490 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |