Provider Demographics
NPI:1518270495
Name:HANNOR-WALKER, TESHAUNDA L (PHD)
Entity Type:Individual
Prefix:DR
First Name:TESHAUNDA
Middle Name:L
Last Name:HANNOR-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 1:209 HIGHLAND OAKS DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-1292
Mailing Address - Country:US
Mailing Address - Phone:478-952-9438
Mailing Address - Fax:229-439-9231
Practice Address - Street 1:209 HIGHLAND OAKS DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-1292
Practice Address - Country:US
Practice Address - Phone:478-952-9438
Practice Address - Fax:229-439-9231
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005989101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional