Individual
DR. TASHA) WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGY
Contact information
Practice address
5828 PAMPLIN AVE, SAINT LOUIS, MO 63147-1018
(314) 265-2713
Mailing address
5828 PAMPLIN AVE, SAINT LOUIS, MO 63147-1018
(314) 265-2713
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
S20588707
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S20488707
—
MO
Enumeration date
02/07/2019
Last updated
02/07/2019
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