Provider Demographics
NPI:1972015139
Name:WALKER, LENSIE KAY
Entity Type:Individual
Prefix:
First Name:LENSIE
Middle Name:KAY
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 1:5805 COIT RD STE 403
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6990
Mailing Address - Country:US
Mailing Address - Phone:972-964-1500
Mailing Address - Fax:972-964-1200
Practice Address - Street 1:105 S BUTLER DR
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2725
Practice Address - Country:US
Practice Address - Phone:972-964-1500
Practice Address - Fax:972-964-1200
Is Sole Proprietor?:No
Enumeration Date:2017-10-27
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111903235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist