Doctor Name: | THERESA A WALSH |
NPI Number: | 1770551194 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS SLP |
License Number: | 0726 |
Business Practice Address: | 3 Alumni Drive Ste 302 Exeter, NH - 03833 |
Business Phone Number: | 6037728208 |
Business Fax Number: | 6034180784 |
Mailing Address: | 70 Butler St, SALEM |
State: | NH |
Postal Code: | 03079 |
Phone Number: | 6038932900 |
Fax Number: | 6038988368 |
NPI Enumeration Date: | 03/10/2006 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0726 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
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 |