Provider Demographics
NPI:1972623635
Name:WALKER, LYN D (LPC, HTP)
Entity type:Individual
Prefix:MS
First Name:LYN
Middle Name:D
Last Name:WALKER
Suffix:
Gender:F
Credentials:LPC, HTP
Other - Prefix:MRS
Other - First Name:LYN
Other - Middle Name:D
Other - Last Name:WALKER-NORMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1941 BELLA SERA DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-2517
Mailing Address - Country:US
Mailing Address - Phone:405-341-1339
Mailing Address - Fax:405-341-1339
Practice Address - Street 1:909 ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-5229
Practice Address - Country:US
Practice Address - Phone:405-573-3997
Practice Address - Fax:405-573-8245
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1405101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional