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DR. DIANE M WALKER PSY.D.

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1427198233

Individual Registrant:
DR. DIANE M WALKER PSY.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
6655 S US HIGHWAY 1  GRANT, FL 32949-2221 US
Tel: 321-693-3325  Fax: 321-956-7571

Contact information for business:
6655 S US HIGHWAY 1  GRANT, FL 32949-2221 US
Tel: 321-693-3325  Fax: 321-956-7571

Registration Information:
NPI: 1427198233
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
FLPY 5049

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS & BLUE SHIELD59541FL01




HEALTH CARE JOBS FL - Page 1



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