Individual
EDWARD MARTIN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
817 CHESTNUT RIDGE RD FL 2, CHESTNUT RIDGE, NY 10977-6314
(917) 679-6764
Mailing address
817 CHESTNUT RIDGE RD FL 2, CHESTNUT RIDGE, NY 10977-6314
(917) 679-6764
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012624-1
NY
103TC0700X
Clinical Psychologist
12624
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01631167
—
NY
Enumeration date
08/01/2006
Last updated
05/16/2019
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