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Individual

MR. TIMOTHY WALSH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
179 REESE RD, SPRINGFIELD, PA 19064-2229
(610) 662-4364
Mailing address
179 REESE RD, SPRINGFIELD, PA 19064-2229

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PC011354
STATE LICENSE
PA
Enumeration date
02/28/2018
Last updated
06/30/2025
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