Individual
GERALD WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1803 SPEYER LN UNIT A, REDONDO BEACH, CA 90278-4814
(310) 938-2704
Mailing address
1803 SPEYER LN UNIT A, REDONDO BEACH, CA 90278-4814
(310) 938-2704
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
210025337
CA
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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