Organization
DIANE M. WALKER PSY. D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE CROWTHER (OFFICE MANAGER)
(772) 696-2233
Entity
Organization
Contact information
Practice address
6655 S US HIGHWAY 1, GRANT, FL 32949-2221
(321) 693-3325
Mailing address
6655 S US HIGHWAY 1, GRANT, FL 32949-2221
(321) 696-3325
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5049
FL
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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