Provider Demographics
NPI:1558657908
Name:WALKER, AMY (MS,CCC,SLP)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:MS,CCC,SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2244 HEMINGWAY LN
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4926
Mailing Address - Country:US
Mailing Address - Phone:214-682-6546
Mailing Address - Fax:971-394-4838
Practice Address - Street 1:2244 HEMINGWAY LN
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4926
Practice Address - Country:US
Practice Address - Phone:214-682-6546
Practice Address - Fax:971-394-4838
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15332235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist