Walker, Susan Denise

Walker, Susan Denise is an sole proprietor health care provider with primary practice located at 322D N Bloomington St , Lowell AR 72745-9136. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Walker, Susan Denise can be contacted via phone (479) 366-7920.

Contact Information

Primary practice address
322D N Bloomington St Lowell AR 72745-9136
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P0403014 Arkansas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X M0501001 Arkansas

Profile Details

NPI number 1528001955
LBN Legal business name Walker, Susan Denise
Credentials MS, MS, LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Sep 10th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528001955 NPPES
Arkansas Other 5Y019 BLUE SHIELD PROVIDER #

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