DR. LA'TONYA RENAE WALLS PHD NPI 1033386008

NPI Information

NPI: 1033386008
Provider Name: DR. LA'TONYA RENAE WALLS, PHD
Classification: Social Worker - 1041S0200X
Entity Type: Individual

Specialization: School

Address:
2414 N 55TH ST
MILWAUKEE, WI
ZIP 53210
Phone: (414) 763-1177
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DR. La'tonya Renae Walls, PHD is a school social worker in Milwaukee, WI. DR. La'tonya Renae Walls, PHD NPI is 1033386008. 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:

2414 N 55TH ST
MILWAUKEE, WI
ZIP 53210-743
Phone: (414) 763-1177

The enumeration date for this NPI number is 5/9/2008 and was last updated on 5/9/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		91-228	WISCONSIN	No
2	1041S0200X	Social Worker	School	625048	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	40950400	MEDICAID	WISCONSIN

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

NPI Synchronization or Removal

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