Provider Demographics
NPI:1427213750
Name:WALKER,, CAROL P (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:P
Last Name:WALKER,
Suffix:
Gender:F
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:PO BOX 4647
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35815-4647
Mailing Address - Country:US
Mailing Address - Phone:256-535-2322
Mailing Address - Fax:256-650-5909
Practice Address - Street 1:1428 WEATHERLY RD SE
Practice Address - Street 2:SUITE 111
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35803-1181
Practice Address - Country:US
Practice Address - Phone:256-535-2322
Practice Address - Fax:256-650-5909
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL619103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical