Provider Demographics
NPI:1881562577
Name:WALKAMA, SEAN RICHARD (MA)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:RICHARD
Last Name:WALKAMA
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CENTRAL ST APT A
Mailing Address - Street 2:
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-3137
Mailing Address - Country:US
Mailing Address - Phone:508-317-3388
Mailing Address - Fax:
Practice Address - Street 1:20 CENTRAL ST APT A
Practice Address - Street 2:
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-3137
Practice Address - Country:US
Practice Address - Phone:508-317-3388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-25
Last Update Date:2025-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097.0135547103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical