Individual
DR. KIMBERLY RUTH WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1452 EAST RIDGELINE DRIVE, SUITE 151, SOUTH OGDEN, UT 84405
(801) 690-0353
(801) 479-7020
Mailing address
PO BOX 150214, OGDEN, UT 84415-0214
(801) 690-0353
(801) 479-7020
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
117391-2501
UT
103TC0700X
Clinical Psychologist
117391-2501
UT
Other
Enumeration date
12/08/2005
Last updated
07/30/2013
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