Individual
DR. LISA RENEE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LPC
Contact information
Practice address
2200 HUNT ST STE 415, DETROIT, MI 48207-3210
(313) 403-3900
Mailing address
2200 HUNT ST STE 415, DETROIT, MI 48207-3210
(313) 403-3900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010055
MI
103T00000X
Psychologist
4089
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952909558
—
MI
Enumeration date
04/19/2007
Last updated
09/20/2022
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