Provider Demographics
NPI:1720262751
Name:WALKER, STEVEN C (PSYD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:C
Last Name:WALKER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 S EDISON AVE
Mailing Address - Street 2:SUITE 2600
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-1917
Mailing Address - Country:US
Mailing Address - Phone:813-938-3926
Mailing Address - Fax:
Practice Address - Street 1:105 S EDISON AVE
Practice Address - Street 2:SUITE 2600
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-1917
Practice Address - Country:US
Practice Address - Phone:813-938-3926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 8753103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist