EBAN WALTERS


Address: 4401 Veterans Memorial Blvd, Suite 201, Metairie, LA 70006-5340
Phone: 5043023226

EBAN WALTERS (NPI# 1023309085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023309085
Entity Type Individual
Full Name EBAN WALTERS
Credential PH.D.
Practice Address 4401 Veterans Memorial Blvd
Suite 201
Metairie
LA 70006-5340
Mailing Address 7608 Willow St
New Orleans
LA 70118-4052
Practice Telephone 5043023226
Practice Fax Number 5042670298
Mailing Telephone 5043023226
Enumeration Date 2011-04-26
Last Update Date 2013-06-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
1150 LA Behavioral Health & Social Service Providers
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
1150 LA Behavioral Health & Social Service Providers

Office Location

Street Address 4401 VETERANS MEMORIAL BLVD
SUITE 201
City METAIRIE
State LA
Zip Code 70006-5340

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245601988 Khan Psychiatry LLC Specialist 4401 Veterans Memorial Blvd, Suite 201, Metairie, LA 70006-5340 2015-10-07
1083047427 Elisa Hope Himel Nurse Practitioner 4401 Veterans Memorial Blvd, Suite 201, Metairie, LA 70006-5340 2013-08-20
1730422130 Rebecca Thien-trang Nguyen Counselor 4401 Veterans Memorial Blvd, Suite #201, Metairie, LA 70006-5340 2013-04-03
1073876934 Axis One Behavioral Solutions A Professional Medical Corporation Social Worker 4401 Veterans Memorial Blvd, Suite 201, Metairie, LA 70006-5340 2012-06-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437786365 Christina Alder Humble Behavior Technician 4201 N 1-10 Service Road W., Metairie, LA 70006 2020-03-23
1285270959 Brittanie Renee Tank Behavior Technician 4201 N 1-10 Service Rd, W, Metairie, LA 70006 2019-11-18
1447896105 Jacob Dent Dds Dentists of Metairie A Professional Corporation Dentist 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 2019-11-18
1417504861 Caryn Tesia Washington Behavior Technician 4201 N 1-10 Service Rd W., Metarie, LA 70006 2019-08-21
1568023356 Brittany Nicole Davis Behavioral Analyst 4201 N-i 10 Service Rd, Metairie, LA 70006 2019-06-24
1295393650 Beth Ann Martin Behavior Technician 4201 N. Service Road W, Metairie, LA 70006 2019-05-31
1942866561 Manunique Johnson Behavior Technician 4201 N-1-10 Service Rd W., Metairie, LA 70006 2019-05-20
1972068419 Stacey R Phipps Behavior Technician 4201 N 1-10 Service Rd. W., Metairie, LA 70006 2019-02-08
1740752799 Na'triana Clark Behavior Technician 4210 N I-10 Service Rd, Metairie, LA 70006 2018-12-31
1861969131 Lauren Hay Hughes Behavior Technician 4201 N 1-10 Service Rd. West, Metairie, LA 70006 2018-10-25
Find all providers in zip 70006

Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972758639 Adrianne M Brennan Psychologist 433 Metairie Rd Ste 615, Metairie, LA 70005-4326 2008-11-22
1497895262 Mercy Family Center Psychologist 110 Veterans Memorial Blvd., Suite 425, Metairie, LA 70005-4959 2007-02-08
1063473213 Claire Dianne Peebles Psychologist 4517 Lorino St, Metairie, LA 70006-2323 2006-03-29
1609163351 Sisters of Mercy Ministries D/b/a Mercy Family Center Psychologist 110 Veterans Memorial Blvd Ste 425, Metairie, LA 70005-4959 2011-07-01
1205154580 Bianchini-bokelberg, LLC Psychologist 3939 Houma Blvd, Ste 223, Metairie, LA 70006-2931 2010-05-11
1992028765 Bianchini-topolosky, LLC Psychologist 3939 Houma Blvd, Ste 223, Metairie, LA 70006-2931 2010-03-09
1013057967 Katherine A Robison Psychologist 3350 Ridgelake Dr, Suite 100, Metairie, LA 70002-3836 2007-02-08
1932246014 Lisa L'rue Arceneaux Psychologist 110 Veterans Blvd, Suite 425, Metairie, LA 70005-3027 2007-01-30
1033260849 William E Fowler Psychologist 3351 Severn Ave, Suite 301, Metairie, LA 70002-7414 2007-01-16
1477577922 Scuddy F. Fontenelle IIi Psychologist 118 Ridgelake Dr, Metairie, LA 70001-5312 2006-07-27
Find all providers in METAIRIE

Competitor

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City METAIRIE
Zip Code 70006

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Dataset Information

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.

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