Provider Demographics
NPI:1366702706
Name:WALKER, KAITLIN
Entity type:Individual
Prefix:MRS
First Name:KAITLIN
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 ALAMO PLZ UNIT 754
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:CA
Mailing Address - Zip Code:94507-4041
Mailing Address - Country:US
Mailing Address - Phone:925-396-5975
Mailing Address - Fax:
Practice Address - Street 1:1396 DANVILLE BLVD APT 208
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:CA
Practice Address - Zip Code:94507-1966
Practice Address - Country:US
Practice Address - Phone:925-396-5975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-19
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health