Individual
DR. AUDRA MARY WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
777 4TH ST S, ST PETERSBURG, FL 33701-4803
(727) 767-4150
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
(813) 974-2201
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 9148
FL
Other
Enumeration date
05/19/2008
Last updated
05/02/2016
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