| Doctor Name: | TINA WALSH |
| NPI Number: | 1609004456 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSCSW |
| License Number: | LSCSW3882 |
| Business Practice Address: | 513 Washington St Box 465 Concordia, KS - 669012116 |
| Business Phone Number: | 7852431400 |
| Business Fax Number: | |
| Mailing Address: | Po Box 465, CONCORDIA |
| State: | KS |
| Postal Code: | 669010465 |
| Phone Number: | 7852431400 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2009 |
| NPI Last Update Date: | 06/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LSCSW3882 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |