Provider Demographics
NPI:1003301581
Name:WALKER FURMAN INC
Entity Type:Organization
Organization Name:WALKER FURMAN INC
Other - Org Name:DAYSPRING PEDIATRIC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILINGUAL SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:NADIA
Authorized Official - Last Name:HSIEH
Authorized Official - Suffix:
Authorized Official - Credentials:MACCC SLP
Authorized Official - Phone:951-203-9111
Mailing Address - Street 1:1955 AUSTIN CT
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-2822
Mailing Address - Country:US
Mailing Address - Phone:626-824-9226
Mailing Address - Fax:
Practice Address - Street 1:600 N MOUNTAIN AVE STE A201
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786
Practice Address - Country:US
Practice Address - Phone:951-203-9111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-26
Last Update Date:2018-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP7714235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty