Provider Demographics
NPI:1154413847
Name:WALKER, MAYLING GUTIERREZ (PHD, MP)
Entity type:Individual
Prefix:DR
First Name:MAYLING
Middle Name:GUTIERREZ
Last Name:WALKER
Suffix:
Gender:F
Credentials:PHD, MP
Other - Prefix:DR
Other - First Name:MAYLING
Other - Middle Name:DE LOS ANGELES
Other - Last Name:GUTIERREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:200 HENRY CLAY AVE
Mailing Address - Street 2:PSYCHOLOGY DEPARTMENT
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5720
Mailing Address - Country:US
Mailing Address - Phone:504-896-7272
Mailing Address - Fax:504-896-7273
Practice Address - Street 1:200 HENRY CLAY AVE
Practice Address - Street 2:PSYCHOLOGY DEPARTMENT
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5720
Practice Address - Country:US
Practice Address - Phone:504-896-7272
Practice Address - Fax:504-896-7273
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016271103T00000X
LA1032103TC0700X
LAMP.000023103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical