Doctor Name: | MISS KATHERINE MARIE WALSH |
NPI Number: | 1003938671 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | |
Business Practice Address: | 1 Washington St Taunton, MA - 027803960 |
Business Phone Number: | 5088289116 |
Business Fax Number: | |
Mailing Address: | 2014 4th St, SARASOTA |
State: | FL |
Postal Code: | 342374304 |
Phone Number: | 5088136153 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 03/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |