Healthcare Provider Details

I. General information

NPI: 1831132786
Provider Name (Legal Business Name): DONNA MEREDITH WALSH M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 BARCLAY AVE
MORRISVILLE PA
19067-7001
US

IV. Provider business mailing address

PO BOX 771
MORRISVILLE PA
19067-0771
US

V. Phone/Fax

Practice location:
  • Phone: 215-295-2273
  • Fax: 215-428-2616
Mailing address:
  • Phone: 215-295-2273
  • Fax: 215-428-2616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL002378L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: