MEDICARE: LINDA WALSHH PH.D,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	4258	TX
2	106H00000X	Marriage & Family Therapist	1018	TX

General Provider Information

NPI Number	:	1023179058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA WALSHH PH.D,

Provider Business Mailing Address
First Line	:	3400 BISSONNET ST STE 270
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2192
Country	:	US
Telephone Number	:	713-524-3727
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 BISSONNET ST STE 270
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2192
Country	:	US
Telephone Number	:	713-524-3727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	09/11/2025

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