Provider Demographics
NPI:1972952992
Name:WALKER, SUSAN (MENTAL HEALTH)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:MENTAL HEALTH
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MENTAL HEALTH
Mailing Address - Street 1:5 VILLAGE HILL LN APT 20
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-5725
Mailing Address - Country:US
Mailing Address - Phone:508-651-9048
Mailing Address - Fax:
Practice Address - Street 1:651 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-2919
Practice Address - Country:US
Practice Address - Phone:508-620-1442
Practice Address - Fax:508-875-0806
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-09
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health