DR. TERRY LYNNE WALTERS (NPI# 1104974377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104974377 |
Entity Type | Individual |
Full Name | DR. TERRY LYNNE WALTERS |
Credential | PH.D. |
Practice Address |
517 Harwood Rd Ste 102 Bedford TX 76021-4109 |
Practice Telephone | 8174859003 |
Practice Fax Number | 8177882880 |
Mailing Telephone | 8174859003 |
Mailing Fax Number | 8177882880 |
Enumeration Date | 2007-01-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
23114 | TX | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BCBS PROVIDER NUMBER | G63C | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235360363 | Terry E Walters | Counselor | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2009-08-06 |
1831320340 | Terry R Walters | Audiologist-Hearing Aid Fitter | 33605 Hwy 280, Childersburg, AL 35044 | 2009-07-31 |
1891883666 | Terry Jane Walters | Internal Medicine | 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310 | 2006-10-10 |
Street Address |
517 HARWOOD RD STE 102 |
City | BEDFORD |
State | TX |
Zip Code | 76021-4109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
Find all providers in zip 76021 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114524337 | T Psychological Services Professional LLC | Psychologist | 305 Avalon Dr, Bedford, MA 01730-2067 | 2020-10-01 |
1558744367 | Victoria E Ameral | Psychologist | 200 Springs Rd Bldg 5, Bedford, MA 01730-1114 | 2015-06-30 |
1366785461 | Sharmila Bandyopadhyay Mehta | Psychologist | 4202 Thompson Farm, Bedford, MA 01730-1492 | 2013-03-27 |
1164771689 | Natasha Haughton | Psychologist | 172 Route 101 Ste 26, Bedford, NH 03110-5416 | 2012-08-29 |
1174897672 | Michele Waldron | Psychologist | 55 North Rd Suite 220, Bedford, MA 01730-6103 | 2012-03-01 |
1619172335 | Alexandra Stone, Phd | Psychologist | 26 Village Grn Ste 9, Bedford, NY 10506-1245 | 2007-06-21 |
1134253198 | Leslie Marie Faris | Psychologist | 1100 Airport Fwy Ste 202, Bedford, TX 76022-6659 | 2007-03-14 |
1336277524 | Kelly Elizabeth Dvorin | Psychologist | 55 North Rd Ste 220b, Bedford, MA 01730-1078 | 2007-03-01 |
1821165184 | Alexis E Hunt | Psychologist | 43 North Rd, Bedford, MA 01730 | 2006-11-29 |
1336228899 | Karl J Toews | Psychologist | 304 Avalon Dr, Bedford, MA 01730-2067 | 2006-11-03 |
Find all providers in BEDFORD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.