Healthcare Provider Details

I. General information

NPI: 1255016127
Provider Name (Legal Business Name): ERIN RUTH WALSH PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2023
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 S HIGH ST
WEST CHESTER PA
19383-0002
US

IV. Provider business mailing address

780 E MARKET ST STE 220
WEST CHESTER PA
19382-4882
US

V. Phone/Fax

Practice location:
  • Phone: 732-778-9660
  • Fax:
Mailing address:
  • Phone: 610-892-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS020695
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: