Provider Demographics
NPI:1740562891
Name:WALKER-FELTON, REJI
Entity Type:Individual
Prefix:
First Name:REJI
Middle Name:
Last Name:WALKER-FELTON
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 1:8606 E HIGHLANDS XING
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77562-2256
Mailing Address - Country:US
Mailing Address - Phone:225-939-6067
Mailing Address - Fax:
Practice Address - Street 1:8606 E HIGHLANDS XING
Practice Address - Street 2:
Practice Address - City:HIGHLANDS
Practice Address - State:TX
Practice Address - Zip Code:77562-2256
Practice Address - Country:US
Practice Address - Phone:225-939-6067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108243235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist