Provider Demographics
NPI:1548293038
Name:SUMMERS, WALTER V (PHD)
Entity type:Individual
Prefix:
First Name:WALTER
Middle Name:V
Last Name:SUMMERS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11217 CHAUCERS RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-2046
Mailing Address - Country:US
Mailing Address - Phone:301-362-9894
Mailing Address - Fax:
Practice Address - Street 1:ARMY AUDIOLOGY SPEECH CTR
Practice Address - Street 2:WALTER REED ARMY MEDICAL CTR, BLDG. 2, ROOM 6A77
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0001
Practice Address - Country:US
Practice Address - Phone:202-782-8610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist