Provider Demographics
NPI:1992895635
Name:MARSH, WALKER ELTON JR (PHD LMFT)
Entity type:Individual
Prefix:DR
First Name:WALKER
Middle Name:ELTON
Last Name:MARSH
Suffix:JR
Gender:M
Credentials:PHD LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 WHISPERWOOD BLVD
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-1136
Mailing Address - Country:US
Mailing Address - Phone:985-661-0560
Mailing Address - Fax:985-781-5395
Practice Address - Street 1:85 WHISPERWOOD BLVD
Practice Address - Street 2:SUITE 2C
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-1136
Practice Address - Country:US
Practice Address - Phone:985-661-0560
Practice Address - Fax:985-781-5395
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMFT-345101YA0400X, 101YM0800X, 106H00000X
LA101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist