Doctor Name: | NATHAN WALSH |
NPI Number: | 1780042747 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 163 Butner Dr Hope, IN - 472469447 |
Business Phone Number: | 8125466000 |
Business Fax Number: | 8125460368 |
Mailing Address: | 14 Trafalgar Sq, TRAFALGAR |
State: | IN |
Postal Code: | 461819515 |
Phone Number: | 3174129190 |
Fax Number: | 3178782302 |
NPI Enumeration Date: | 02/05/2016 |
NPI Last Update Date: | 02/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |