Doctor Name: | MRS. LATARSHA DORIS WALKER |
NPI Number: | 1770772279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.LCPC |
License Number: | LC1957 |
Business Practice Address: | 7704 Starshine Dr District Heights, MD - 207471895 |
Business Phone Number: | 3013362452 |
Business Fax Number: | |
Mailing Address: | 7704 Starshine Dr, DISTRICT HEIGHTS |
State: | MD |
Postal Code: | 207471895 |
Phone Number: | 3013362452 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2007 |
NPI Last Update Date: | 04/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC1957 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |