Individual
DR. WILLIAM WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
38713 TIERRA SUBIDA AVE STE 200-137, PALMDALE, CA 93551-4562
(661) 706-6056
Mailing address
38713 TIERRA SUBIDA AVE STE 200-137, PALMDALE, CA 93551-4562
(661) 706-6056
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY07625
CA
103T00000X
Psychologist
PSY07625
CA
103TF0200X
Forensic Psychologist
PSY07625
CA
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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