Provider Demographics
NPI:1992923502
Name:WALKER, LENORE E (PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:LENORE
Middle Name:E
Last Name:WALKER
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3860 SHERIDAN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3624
Mailing Address - Country:US
Mailing Address - Phone:954-322-0348
Mailing Address - Fax:954-322-0397
Practice Address - Street 1:3860 SHERIDAN ST
Practice Address - Street 2:SUITE A
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3624
Practice Address - Country:US
Practice Address - Phone:954-322-0348
Practice Address - Fax:954-322-0397
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 5102103TC2200X, 103TF0000X, 103TF0200X, 103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Not Answered103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Not Answered103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)