Provider Demographics
NPI:1972855526
Name:WALKER, ERIN KRISTINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:KRISTINE
Last Name:WALKER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 W END AVE
Mailing Address - Street 2:SUITE #1B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5326
Mailing Address - Country:US
Mailing Address - Phone:646-489-2814
Mailing Address - Fax:
Practice Address - Street 1:441 W END AVE
Practice Address - Street 2:SUITE #1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5326
Practice Address - Country:US
Practice Address - Phone:646-489-2814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019752-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical