Doctor Name: | CAROLYN HUNTER WALSH |
NPI Number: | 1033169032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCMHC |
License Number: | 068-0000144 |
Business Practice Address: | 102 Mill Rd Bridgewater, VT - 050349801 |
Business Phone Number: | 8026722187 |
Business Fax Number: | 8026722187 |
Mailing Address: | 500 Chateauguay Road, BRIDGEWATER CORNERS |
State: | VT |
Postal Code: | 050350288 |
Phone Number: | 8026722187 |
Fax Number: | 8026722187 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 068-0000144 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |