Shannon Nicole Walker, is a
Psychologist based in Santa Ana, California. Shannon Nicole Walker is licensed to practice in California (license number 34282) and her current practice location is
517 N Main St Ste 339, Santa Ana, California. She can be reached at her office (for appointments etc.) via phone at
(714) 732-2052.
NPI number for Shannon Nicole Walker is 1164864807 and her current mailing address is 517 N Main St Ste 339, Santa Ana, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164864807.
Healthcare Provider's Profile
| Full Name | Shannon Nicole Walker |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
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| Location | 517 N Main St Ste 339, Santa Ana, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164864807
- Provider Enumeration Date: 07/23/2013
- Last Update Date: 09/22/2023
Medical Identifiers
Medical identifiers for Shannon Nicole Walker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164864807 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 99183 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | MFTI #75982 (California) | Secondary |
| 103T00000X | Psychologist | 34282 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Nicole Walker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shannon Nicole Walker,
517 N Main St Ste 339,
Santa Ana, CA 92701-4686
Ph: (714) 732-2052 | Shannon Nicole Walker,
517 N Main St Ste 339,
Santa Ana, CA 92701-4686
Ph: (714) 732-2052 |
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