Doctor Name: | BRIAN WALSH |
NPI Number: | 1033367826 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BA |
License Number: | |
Business Practice Address: | 100 Ledgehill Rd Bennington, VT - 052012273 |
Business Phone Number: | 8024425491 |
Business Fax Number: | 8024423363 |
Mailing Address: | Po Box 588, BENNINGTON |
State: | VT |
Postal Code: | 052010588 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/04/2008 |
NPI Last Update Date: | 09/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |