Provider Demographics
NPI:1801224845
Name:WALKA, AMY (MA, MS)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:WALKA
Suffix:
Gender:F
Credentials:MA, MS
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:27 WARREN ST
Mailing Address - Street 2:PO BOX 3000
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2921
Mailing Address - Country:US
Mailing Address - Phone:908-231-6475
Mailing Address - Fax:908-526-0536
Practice Address - Street 1:110 REHILL AVE
Practice Address - Street 2:SOMERSET MEDICAL CENTER EMERGENCY ROOM
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2519
Practice Address - Country:US
Practice Address - Phone:908-526-4100
Practice Address - Fax:908-526-0536
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJS-4588101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health