Provider Demographics
NPI:1144400508
Name:WALKER, DONALD FRANKLIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:FRANKLIN
Last Name:WALKER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3145 VIRGINIA BEACH BOULEVARD
Mailing Address - Street 2:110
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452
Mailing Address - Country:US
Mailing Address - Phone:757-278-5304
Mailing Address - Fax:757-938-6676
Practice Address - Street 1:3145 VIRGINIA BEACH BOULEVARD
Practice Address - Street 2:110
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452
Practice Address - Country:US
Practice Address - Phone:757-278-5304
Practice Address - Fax:757-938-6676
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003106103TC2200X
VA0810004375103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent