Doctor Name: | DAVID RAYMOND WALKER |
NPI Number: | 1134419948 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSC |
License Number: | 17511 |
Business Practice Address: | 189 S State St Suite 160 Clearfield, UT - 840151061 |
Business Phone Number: | 8017732044 |
Business Fax Number: | |
Mailing Address: | 558 W 3200 S, BOUNTIFUL |
State: | UT |
Postal Code: | 840107972 |
Phone Number: | 8017356153 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2011 |
NPI Last Update Date: | 04/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 17511 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |