Provider Demographics
NPI:1467006064
Name:WALKER, BARBARA ROSEMARIE
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ROSEMARIE
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-1143
Mailing Address - Country:US
Mailing Address - Phone:914-663-8648
Mailing Address - Fax:
Practice Address - Street 1:100 W LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-1143
Practice Address - Country:US
Practice Address - Phone:914-663-8648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency