Doctor Name: | ALISSA WALSH |
NPI Number: | 1316367030 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 27793077 |
Business Practice Address: | 800 Macdade Blvd Collingdale, PA - 190233826 |
Business Phone Number: | 6109389350 |
Business Fax Number: | |
Mailing Address: | 800 Macdade Blvd, COLLINGDALE |
State: | PA |
Postal Code: | 190233826 |
Phone Number: | 6109389350 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2014 |
NPI Last Update Date: | 04/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 27793077 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |