Dr. Shannon Nicole Walker, Ph.D.
Psychologist, Clinical in Glen Carbon, IL. Individual provider (NPI-1).
NPI number1801020573
StatusActive
Last updated in NPPESJun 4, 2012
Details
- NPI
- 1801020573
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shannon Nicole Walker
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 11, 2009
- Last updated
- Jun 4, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071.007664 | IL | Yes |
Other names
- Shannon Nicole Baugher (Former Name)
Practice location
9 Junction Dr WSuite 6
Glen Carbon, IL 62034-2931
Phone 618-710-4123 · Fax 618-731-4082
Mailing address
9 Junction Dr WSuite 6
Glen Carbon, IL 62034-2931
Phone 618-710-4123 · Fax 618-731-4082
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