Doctor Name: | MRS. EDNA RUTH WALSH |
NPI Number: | 1013135060 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW LCSW |
License Number: | 44SC05159000 |
Business Practice Address: | 200 Broad Street Red Bank, NJ - 07701 |
Business Phone Number: | 7322415324 |
Business Fax Number: | 7326717941 |
Mailing Address: | 200 Broad Street, RED BANK |
State: | NJ |
Postal Code: | 07701 |
Phone Number: | 7322415324 |
Fax Number: | 7326717941 |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05159000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |