Individual
MARGO WADE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7106 FORD DR NW, GIG HARBOR, WA 98335-6482
(253) 265-1448
(253) 265-1448
Mailing address
7106 FORD DR NW, GIG HARBOR, WA 98335-6482
(253) 265-1448
(253) 265-1448
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00002742
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8405326
—
WA
01
—
AB36789
MEDICARE ID
WA
Enumeration date
10/16/2006
Last updated
07/01/2015
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