Provider Demographics
NPI:1598247553
Name:WALKER, ZOEY N
Entity Type:Individual
Prefix:
First Name:ZOEY
Middle Name:N
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 1:7370 PARKWAY DR APT 403
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-1848
Mailing Address - Country:US
Mailing Address - Phone:775-691-6432
Mailing Address - Fax:
Practice Address - Street 1:1545 HOTEL CIR S
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3412
Practice Address - Country:US
Practice Address - Phone:619-398-2441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health