Organization
DR. SYDNEY WALSH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYDNEY A WALSH PH.D. LP (PSYCHOLOGIST)
(248) 854-8279
Entity
Organization
Contact information
Practice address
28345 BECK RD STE 305, WIXOM, MI 48393-4744
(248) 491-8047
Mailing address
28345 BECK RD STE 305, WIXOM, MI 48393-4744
(248) 491-8047
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016444
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578997078
—
MI
Enumeration date
02/10/2017
Last updated
02/10/2017
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