Individual
DR. PAUL M WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
120 SEARS AVE, SUITE 201, LOUISVILLE, KY 40207-5072
(502) 899-1282
Mailing address
120 SEARS AVE, SUITE 201, LOUISVILLE, KY 40207-5072
(502) 899-1282
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
853
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3014901
MEDICARE
KY
Enumeration date
04/16/2007
Last updated
07/20/2007
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