Earl Eugene Walker Jr., ED.D., CCHP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

B1-0000757 Issued in DE

Practice address

9 Morning Dew Dr
Middletown, DE 19709-2419

Phone

(302) 312-8221

NPI assigned

Aug 1, 2008

Last updated

Aug 1, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: lifestancehealth.earlwalker@148542.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Self Realization Consulting, Inc.

  dba Self Realization

  • Clinical Psychologist
  • Middletown, DE
  • NPI 1487778247
  Authorized official Same address or phone
• Self Realization, LLC

  dba Wisdom Counseling

  • Health Service Psychologist
  • Middletown, DE
  • NPI 1487982880
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1104082981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MORNING DEW DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197092419",
            "telephone_number": "302-312-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MORNING DEW DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197092419",
            "telephone_number": "302-312-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "EARL",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "ED.D., CCHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B1-0000757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3802)
• Walgreen Co (Walgreens #11055)
• Walgreen Co (Happy Harry's Inc dba Walgreens #11075)
• Walgreen Co (Walgreens # 11067)
• Angie C Walker, LMSW
• Ladale Renee Walker, R.D
• Tireah Walker
• Janika Inez Wallace, D.O.
• Kendra Wallace, MHA, CD/PCD
• Cheerie B Wallenta, PT

• Psychologist in Middletown, DE
• Providers in Middletown, DE by specialty
• Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.