Walker, Brandon Peterson

Walker, Brandon Peterson is an sole proprietor health care provider with primary practice located at 4116 Arkwright Rd Suite 2, Macon GA 31210-1707. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Walker, Brandon Peterson can be contacted via phone (478) 477-0601.

Contact Information

Primary practice address
4116 Arkwright Rd Suite 2 Macon GA 31210-1707
Fax: (973) 965-4580
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005318 Georgia

Profile Details

NPI number 1396936449
LBN Legal business name Walker, Brandon Peterson
Credentials M.ED., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2007
Last updated Jun 4th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396936449 NPPES
Georgia MEDICAID 851245699B

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