Walker, Larry Dean
Walker, Larry Dean is an individual health care provider with primary practice located at 85 Kirman Ave Ste 200 , Reno NV 89502-1339. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Walker, Larry Dean can be contacted via phone (775) 982-2862.Contact Information
Primary practice address
85 Kirman Ave Ste 200
Reno NV 89502-1339
Phone: (775) 982-2862
Fax: (775) 982-2865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH5282 | Florida |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS04738-L | Pennsylvania |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY22181 | California |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY003253 | Georgia |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY0692 | Nevada |
Profile Details
| NPI number | 1982656831 |
|---|---|
| LBN Legal business name | Walker, Larry Dean |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Aug 17th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982656831 | NPPES |
| Other | 11388219 | CAQH | |
| MEDICAID | 1982656831 | CAQH |
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