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MS. JENNIFER GRACE WALTER NPI 1104171792


NPI Information

NPI: 1104171792
Provider Name: MS. JENNIFER GRACE WALTER
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4001 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 272-6203
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MS. Jennifer Grace Walter is a clinical neuropsychologist in Albuquerque, NM. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. MS. Jennifer Grace Walter NPI is 1104171792. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4001 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM
ZIP 87110-816
Phone: (505) 272-6203
Fax: (505) 299-4740

The NPI 1104171792 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/19/2012 and was last updated on 11/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistPSY1626NEW MEXICOYes
2103TC0700XPsychologistClinicalPSY1626NEW MEXICONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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