Provider Demographics
NPI:1053594929
Name:WALKER, DOROTHY MAE (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:MAE
Last Name:WALKER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 FALLS CREEK CIR
Mailing Address - Street 2:APT. 304
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-2074
Mailing Address - Country:US
Mailing Address - Phone:901-755-6495
Mailing Address - Fax:
Practice Address - Street 1:1800 FALLS CREEK CIR
Practice Address - Street 2:APT. 304
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-2074
Practice Address - Country:US
Practice Address - Phone:901-755-6495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNSP 0000003449235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist