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NPI 1114966421

NPI 1114966421 : MONICA L WALSH PH.D. : ALLISON PARK, PA

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General NPI Number Information
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    NPI Number           |    1114966421
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    Entity Type          |    Individual 
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    Provider Name        |    MONICA L WALSH PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/05/2006
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    Last Update Date     |    03/24/2023
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Provider Practice Location Address
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    Address Line         |    4284 WILLIAM FLYNN HWY SUITE 203
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    City                 |    ALLISON PARK
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    State                |    PA
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    Zip                  |    15101-1439
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    Country              |    US
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    Telephone            |    412-371-7330
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    Fax                  |    412-242-4732
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Provider Business Mailing Address
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    Address Line         |    4284 WILLIAM FLYNN HWY STE 101 
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    City                 |    ALLISON PARK
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    State                |    PA
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    Zip                  |    15101-1440
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    Country              |    US
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    Telephone            |    412-371-7330
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    Fax                  |    412-242-4732
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PS008473L
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    License Number State |    PA
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