Organization
CHYRIL WALKER PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHYRIL WALKER PH.D. (PRESIDENT)
(541) 557-2400
Entity
Organization
Contact information
Practice address
4466 NE DEVILS LAKE BLVD, STE A, LINCOLN CITY, OR 97367-5197
(541) 557-2400
(541) 557-2399
Mailing address
4466 NE DEVILS LAKE BLVD, STE A, LINCOLN CITY, OR 97367-5197
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
997
OR
103TC0700X
Clinical Psychologist
Primary
997
OR
103TC2200X
Clinical Child & Adolescent Psychologist
997
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013296847
NPI TYPE 1
OR
Enumeration date
11/08/2012
Last updated
11/08/2012
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