Individual
DR. JOHN ANTHONY WALSH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
401 GILFORD AVE # 1C, GILFORD, NH 03249-7500
(603) 528-2307
(603) 528-2257
Mailing address
PO BOX 7274, 401 GILFORD AVE., #1C, LACONIA, NH 03247-7274
(603) 528-2307
(603) 528-2257
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
253
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80622250
—
NH
Enumeration date
08/01/2006
Last updated
07/08/2007
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