Individual
DR. CHANEQUA JAPHETTE WALKER-BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5315 HIGHGATE DR, SUITE 102, DURHAM, NC 27713-6623
(919) 418-1718
(919) 794-5715
Mailing address
608 CROSSVIEW LN, DURHAM, NC 27703-6728
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2828
NC
103TC0700X
Clinical Psychologist
Primary
2828
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046FT
BCBSNC
NC
05
—
60000453
—
NC
Enumeration date
09/16/2010
Last updated
09/28/2010
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