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Individual

DR. DIANE M WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
6655 S US HIGHWAY 1, GRANT, FL 32949-2221
(321) 693-3325
(321) 956-7571
Mailing address
6655 S US HIGHWAY 1, GRANT, FL 32949-2221
(321) 693-3325
(321) 956-7571

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 5049
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
59541
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
02/08/2007
Last updated
10/04/2011
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