Walker, Clarence William
Walker, Clarence William is an sole proprietor health care provider with primary practice located at 17 Ash Street, N.E Post Office Box 92, New London MN 56273. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Walker, Clarence William can be contacted via phone (320) 354-4489.Contact Information
Primary practice address
17 Ash Street, N.E Post Office Box 92
New London MN 56273
Phone: (320) 354-4489
Fax: (320) 354-4490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | C1083 | Minnesota |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP0321 | Minnesota |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LICSW06609 | Minnesota |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP0123 | Minnesota |
Profile Details
| NPI number | 1053481069 |
|---|---|
| LBN Legal business name | Walker, Clarence William |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Dec 30th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053481069 | NPPES |
| Minnesota | MEDICAID | 843748300 |
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