Provider Demographics
NPI:1962046391
Name:WALKER, AUSTIN TYLER (HAS)
Entity type:Individual
Prefix:MR
First Name:AUSTIN
Middle Name:TYLER
Last Name:WALKER
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 N FLAGLER DR STE 7700
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3417
Mailing Address - Country:US
Mailing Address - Phone:561-429-6384
Mailing Address - Fax:561-429-6385
Practice Address - Street 1:1411 N FLAGLER DR STE 7700
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3417
Practice Address - Country:US
Practice Address - Phone:561-429-6384
Practice Address - Fax:561-429-6385
Is Sole Proprietor?:No
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5447237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1801317201OtherNPI