Provider Demographics
NPI:1336280312
Name:WALKER, JANET RYAN (EDD, LCPC)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:RYAN
Last Name:WALKER
Suffix:
Gender:F
Credentials:EDD, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4410 SADDLE RIVER DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3456
Mailing Address - Country:US
Mailing Address - Phone:301-805-9357
Mailing Address - Fax:301-805-4646
Practice Address - Street 1:4410 SADDLE RIVER DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-3456
Practice Address - Country:US
Practice Address - Phone:301-805-9357
Practice Address - Fax:301-805-4646
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2327101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health