Individual
JOHN MARK WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
475 RED NOSE MESA LN, LIVERMORE, CO 80536-8935
(970) 495-0920
Mailing address
475 RED NOSE MESA LN, LIVERMORE, CO 80536-8935
(970) 495-0920
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1875
CO
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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