Provider Demographics
NPI:1255579363
Name:ARMSTRONG-WALKER, GERRI LANE (PSYD)
Entity type:Individual
Prefix:DR
First Name:GERRI
Middle Name:LANE
Last Name:ARMSTRONG-WALKER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 ZANKER RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-2201
Mailing Address - Country:US
Mailing Address - Phone:408-210-4467
Mailing Address - Fax:
Practice Address - Street 1:3500 ZANKER RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-2201
Practice Address - Country:US
Practice Address - Phone:408-210-4467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 22100103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent