Provider Demographics
NPI:1093348203
Name:WALKER, CINDY ELAINE (LPC)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:ELAINE
Last Name:WALKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7A UNIVERSITY CIR
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-5653
Mailing Address - Country:US
Mailing Address - Phone:203-343-9849
Mailing Address - Fax:
Practice Address - Street 1:2204 MORRIS AVE # SUITEI-4
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5918
Practice Address - Country:US
Practice Address - Phone:973-433-6051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-16
Last Update Date:2020-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty