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Individual

MICHELLE NICOLE WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
9707 KEY WEST AVE STE 100, ROCKVILLE, MD 20850-3992
(240) 750-6467
(240) 702-0262
Mailing address
9707 KEY WEST AVE STE 100, ROCKVILLE, MD 20850-3992
(240) 750-6467
(240) 702-0262

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
06191
MD
103T00000X
Psychologist
25670
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06191
PSYCHOLOGIST LICENSE
MD
01
25670
LIC
CA
Enumeration date
07/24/2007
Last updated
07/22/2019
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