Individual
EMILY M WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, ATR
Contact information
Practice address
408 W STATE ST, ITHACA, NY 14850-5220
(607) 273-0886
Mailing address
408 W STATE ST, ITHACA, NY 14850-5220
(607) 273-0886
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001526
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336163963
—
NY
Enumeration date
11/29/2012
Last updated
07/22/2020
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