Individual
DR. LISA KATHLEEN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
233 FULTON ST E, SUITE 14, GRAND RAPIDS, MI 49503-3200
(616) 915-2486
(616) 776-5543
Mailing address
233 FULTON ST E, SUITE 14, GRAND RAPIDS, MI 49503-3200
(616) 915-2486
(616) 776-5543
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008820
MI
Other
Enumeration date
11/01/2006
Last updated
07/14/2007
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