Bethany L Walker, PhD
Psychologist, Clinical in Glenview, IL. Individual provider (NPI-1).
NPI number1982247813
StatusActive
Last updated in NPPESSep 8, 2023
Details
- NPI
- 1982247813
- Entity type
- Individual (NPI-1)
- Name
- Bethany L Walker
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2019
- Certification date
- Sep 8, 2023
- Last updated
- Sep 8, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- Medicare opt-out
- Feb 15, 2024 to Feb 15, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071.010558 | IL | Yes |
Practice location
2700 Patriot BlvdGlenview, IL 60026-8021
Phone 847-231-2399
Mailing address
2700 Patriot BlvdSte 250 #500
Glenview, IL 60026-8021
Phone 847-231-2399
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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