National Provider Identifier

Connor Walters

Connor Walters is listed in the NPPES registry with a primary specialty of Counselor in Lockport, NY and a listed phone number of (716) 433-2484.

NPI 1528775426Lockport, NYCounselor

Profile Overview

NPI
1528775426
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
October 31, 2022
Last Updated
November 02, 2022

Practice Location

  • 637 Davison RD
  • Lockport, NY 14094-5339

Phone: (716) 433-2484

Mailing Address

  • 55 Dodge RD
  • Getzville, NY 14068-1205

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1528775426
Entity Type
Individual
Last Name
Walters
First Name
Connor
Mailing Street Address
55 Dodge RD
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-1205
Mailing Country
US
Mailing Phone
(716) 831-2700
Practice Street Address
637 Davison RD
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-5339
Practice Country
US
Practice Phone
(716) 433-2484
Enumeration Date
October 31, 2022
Last Updated
November 02, 2022
Sex
Male
Sole Proprietor
No
Certification Date
November 02, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)