Courtney Walker, M.S.
Psychologist, Clinical Child & Adolescent in Jackson, MS. Individual provider (NPI-1).
NPI number1982130134
StatusActive
Last updated in NPPESSep 28, 2020
Details
- NPI
- 1982130134
- Entity type
- Individual (NPI-1)
- Name
- Courtney Walker
- Credential
- M.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 10, 2017
- Certification date
- Sep 25, 2020
- Last updated
- Sep 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 59-1041 | MS | Yes |
| 103T00000X | Psychologist | 59-1041 | MS | |
| 2080P0006X | Pediatrics, Developmental - Behavioral Pediatrics | 59-1041 | MS | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2500 N State StJackson, MS 39216-4500
Phone 601-815-2005
Mailing address
2500 N. State StreetCbo-Suite 4200
Jackson, MS 39216-4500
Phone 601-496-9794 · Fax 601-815-0434
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