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NPI Code Detail

MEDICARE: MS. JUDITH WALSH M.ED., LMHC

MEDICARE:  MS. JUDITH  WALSH  M.ED., LMHC
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
1101YM0800XMental Health Counselor4319MA

General Provider Information

NPI Number : 1477661452
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUDITH WALSH M.ED., LMHC
Provider Business Mailing Address
First Line : 2425 HIGHLAND AVE
Second Line :
City : FALL RIVER
State : MA
Zip : 02720-4508
Country : US
Telephone Number : 508-679-8511
Fax Number : 508-678-7640
Provider Business Practice Location Address
First Line : 2425 HIGHLAND AVE
Second Line :
City : FALL RIVER
State : MA
Zip : 02720-4508
Country : US
Telephone Number : 508-679-8511
Fax Number : 508-678-7640
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 07/08/2007

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Directions to “ MS. JUDITH WALSH M.ED., LMHC” Practice Location

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