| Susan D. Walker | |
|
1821 S 8th St Rogers AR 72756-5912 | |
| (479) 366-7920 | |
| Not Available |
| Full Name | Susan D. Walker |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1821 S 8th St, Rogers, Arkansas |
| Authorized Official Name and Position | Susan D. Walker (OWNER/THERAPIST) |
| Authorized Official Contact | 4793667920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan D. Walker Po Box 346 Cave Springs AR 72718-0346 Ph: (479) 366-7920 | Susan D. Walker 1821 S 8th St Rogers AR 72756-5912 Ph: (479) 366-7920 |
| NPI Number | 1639492911 |
|---|---|
| Provider Enumeration Date | 03/01/2010 |
| Last Update Date | 03/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639492911 | NPI | - | NPPES |
| 177690719 | Medicaid | AR | |
| 5Y019 | Other | AR | BLUE CROSS AND BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P0403014 (Arkansas) | Primary |
| 106H00000X | Marriage & Family Therapist | M0501001 (Arkansas) | Secondary |
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