Most Relevant Information
Provider Data
| NPI Number: | 1003590753 |
| Provider Name: | EMMA MICAELA WALKER |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/13/2023 |
| Last Updated: | 06/13/2023 |
Provider Practice Location
1505 W ELK AVE STE 2B
ELIZABETHTON
TN
376432848
Practice Location Phone/Fax
| Phone: | 4234397320 |
| Fax: |
Provider Mailing Location
1505 W ELK AVE STE 2B
ELIZABETHTON
TN
376432848
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |