Provider Demographics
NPI:1699668392
Name:WALKER, TIKA MONET LETRICE (DOULA, CLC)
Entity type:Individual
Prefix:MISS
First Name:TIKA MONET
Middle Name:LETRICE
Last Name:WALKER
Suffix:
Gender:F
Credentials:DOULA, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 LOCUST ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14204-1048
Mailing Address - Country:US
Mailing Address - Phone:716-341-5966
Mailing Address - Fax:716-341-5966
Practice Address - Street 1:290 LOCUST ST APT 2
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14204-1048
Practice Address - Country:US
Practice Address - Phone:716-341-5966
Practice Address - Fax:716-341-5966
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY326694174N00000X
NY374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RN