Provider Demographics
NPI:1831082395
Name:WALKER, MACY BROOKE (B A)
Entity type:Individual
Prefix:
First Name:MACY
Middle Name:BROOKE
Last Name:WALKER
Suffix:
Gender:F
Credentials:B A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1656 WESSON RD
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:AR
Mailing Address - Zip Code:71749-8616
Mailing Address - Country:US
Mailing Address - Phone:870-314-4493
Mailing Address - Fax:
Practice Address - Street 1:1656 WESSON RD
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:AR
Practice Address - Zip Code:71749-8616
Practice Address - Country:US
Practice Address - Phone:870-314-4493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2031412355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant