Doctor Name: | MS. CASEY MULLIGAN WALSH |
NPI Number: | 1396989448 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 009837-1 |
Business Practice Address: | 68 Valley Dr West Sand Lake, NY - 121961739 |
Business Phone Number: | 5186744114 |
Business Fax Number: | 5182790612 |
Mailing Address: | 68 Valley Dr, WEST SAND LAKE |
State: | NY |
Postal Code: | 121961739 |
Phone Number: | 5186744114 |
Fax Number: | 5182790612 |
NPI Enumeration Date: | 04/20/2009 |
NPI Last Update Date: | 04/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 009837-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |