Individual
JOHN MICHAEL WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
310 CAMINO DE LA PLACITA, TAOS, NM 87571-5951
(575) 758-5200
Mailing address
108D MORADA LN, TAOS, NM 87571-6580
(831) 332-3979
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
292863
NM
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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