Provider Demographics
NPI:1861170771
Name:WALKER, DENICE T (LBS)
Entity type:Individual
Prefix:MS
First Name:DENICE
Middle Name:T
Last Name:WALKER
Suffix:
Gender:F
Credentials:LBS
Other - Prefix:MS
Other - First Name:DENICE
Other - Middle Name:T
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10217 PEARL RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-1759
Mailing Address - Country:US
Mailing Address - Phone:412-726-1019
Mailing Address - Fax:
Practice Address - Street 1:10217 PEARL RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-1759
Practice Address - Country:US
Practice Address - Phone:412-726-1019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH001908251S00000X
106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No251S00000XAgenciesCommunity/Behavioral Health