Provider Demographics
NPI:1487741229
Name:WALKER-MCMAHAN, SHEILA M (LMHC)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:M
Last Name:WALKER-MCMAHAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-4108
Mailing Address - Country:US
Mailing Address - Phone:781-729-4010
Mailing Address - Fax:781-729-3982
Practice Address - Street 1:573 MAIN ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-2900
Practice Address - Country:US
Practice Address - Phone:781-729-4010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4833101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM1088OtherBLUE SHIELD
MALM1088OtherBLUE SHIELD