Provider Demographics
NPI:1952074338
Name:WALKER, CATHERINE (CPRS)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 WINDING BROOK RD
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:07419-1026
Mailing Address - Country:US
Mailing Address - Phone:973-879-3120
Mailing Address - Fax:
Practice Address - Street 1:61 SPRING ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2072
Practice Address - Country:US
Practice Address - Phone:973-383-4787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ563175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist