Doctor Name: | PAUL E WALKER |
NPI Number: | 1043221021 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | 102399 |
Business Practice Address: | 45 Summer St Emergency Service Program Leominster, MA - 014533228 |
Business Phone Number: | 9785343372 |
Business Fax Number: | |
Mailing Address: | 33 Kennybeck Ct, NEW IPSWICH |
State: | NH |
Postal Code: | 030713317 |
Phone Number: | 6038782283 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 102399 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |