Walker, Tasha)
Walker, Tasha) is an sole proprietor health care provider with primary practice located at 5828 Pamplin Ave , Saint Louis MO 63147-1018. She recently has only one registered license in Behavioral Health & Social Service Providers / Adult Development & Aging, which is considered as her primary health care specialty. Walker, Tasha) can be contacted via phone (314) 265-2713.Contact Information
Primary practice address
5828 Pamplin Ave
Saint Louis MO 63147-1018
Phone: (314) 265-2713
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | S20588707 | Missouri |
Profile Details
| NPI number | 1952866543 |
|---|---|
| LBN Legal business name | Walker, Tasha) |
| Credentials | PSYCHOLOGY |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2019 |
| Last updated | Feb 7th, 2019 - about 6 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 | 1952866543 | NPPES |
| Missouri | MEDICAID | S20488707 |
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