Provider Demographics
NPI:1063519981
Name:WALKER, LESLIE STERN (MD)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:STERN
Last Name:WALKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20600 CHAGRIN BLVD
Mailing Address - Street 2:STE. 702
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5327
Mailing Address - Country:US
Mailing Address - Phone:216-767-0440
Mailing Address - Fax:216-767-0442
Practice Address - Street 1:20600 CHAGRIN BLVD
Practice Address - Street 2:STE. 702
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-5327
Practice Address - Country:US
Practice Address - Phone:216-767-0440
Practice Address - Fax:216-767-0442
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0893412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH16442Medicare UPIN