Individual
DEBORAH L WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D. LP
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY01937
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11653032
CAQH
—
01
—
204656
BLUE CROSS BLUE SHIELD
MO
01
—
221398
MANAGED HEALTH NETWORK
MO
05
—
494695729
—
MO
Enumeration date
11/10/2005
Last updated
02/20/2023
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