Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | TP-023-291 | NJ |
N | 103T00000X | Psychologist | TP-023-291 | NJ |
N | 225C00000X | Rehabilitation Counselor | NJ |
NPI | 1033297312 |
---|---|
Provider Name | James Walker |
First Address | Piscataway, NJ 08854-5627 |
Second Address | Piscataway, NJ 08854-5627 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 08/07/2007 |