Individual
MS. AMANDA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP CAADC
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 544-5000
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301003728
MI
103T00000X
Psychologist
Primary
6361003728
MI
103TC1900X
Counseling Psychologist
6301014470
MI
Other
Enumeration date
11/12/2014
Last updated
08/05/2022
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