Eban Walters
Clinical Psychologist Clinical Child & Adolescent Psychologist
4401 Veterans Memorial Blvd Suite 201
Metairie
, Louisiana 70006-5340
Eban Walters
Clinical Psychologist Clinical Child & Adolescent Psychologist
4401 Veterans Memorial Blvd Suite 201
Metairie
, Louisiana 70006-5340
(504) 302-3226
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About
Features
Specialties
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Eban Walters
- 7608 Willow St
- New Orleans, LA
- Zip : 70118-4052
- Phone : (504) 302-3226
Second Address
- Eban Walters
- 4401 Veterans Memorial Blvd Suite 201
- Metairie, LA
- Zip : 70006-5340
- Fax : (504) 267-0298
- Phone : (504) 302-3226
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 1150 | LA |
| N | 103TC0700X | Clinical Psychologist | 1150 | LA |
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 1150 | LA |
National Provider Identifier
| NPI | 1023309085 |
|---|---|
| Provider Name | Eban Walters |
| First Address | New Orleans, LA 70118-4052 |
| Second Address | Metairie, LA 70006-5340 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2011 |
| Last Update Date | 03/06/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.