Individual
MRS. ROSLYN MILLER WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPA
Contact information
Practice address
1931 J N PEASE PL STE 204, CHARLOTTE, NC 28262-4543
(704) 717-2800
(704) 717-6200
Mailing address
1931 J N PEASE PL STE 204, CHARLOTTE, NC 28262-4543
(704) 717-2800
(704) 717-2440
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1526
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144PE
BLUE CROSS BLUE SHIED
NC
05
—
6107329
—
NC
Enumeration date
07/12/2006
Last updated
12/17/2019
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