Doctor Name: | ROBIN WALSH |
NPI Number: | 1174629646 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLP |
License Number: | |
Business Practice Address: | 6773 W Maple Rd W Bloomfield, MI - 483223013 |
Business Phone Number: | 2486616100 |
Business Fax Number: | 2486617347 |
Mailing Address: | 6773 W Maple Rd, W BLOOMFIELD |
State: | MI |
Postal Code: | 483223013 |
Phone Number: | 2486616100 |
Fax Number: | 2486617347 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |