Individual
DR. CAROL IRENE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3880 S BASCOM AVE STE 202, SAN JOSE, CA 95124-2675
(408) 486-9514
Mailing address
3880 S BASCOM AVE STE 202, SAN JOSE, CA 95124-2675
(408) 486-9514
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY16563
CA
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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