Individual
DR. LARRY DEAN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
85 KIRMAN AVE STE 200, RENO, NV 89502-1339
(775) 982-2862
(775) 982-2865
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH5282
FL
103T00000X
Psychologist
PS04738-L
PA
103T00000X
Psychologist
PSY003253
GA
103T00000X
Psychologist
PSY22181
CA
103T00000X
Psychologist
Primary
PY0692
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11388219
CAQH
—
05
—
1982656831
—
NV
Enumeration date
05/17/2006
Last updated
08/17/2018
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