Individual
MR. MICHAEL J WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
830 HARRISON AVE, SUITE 1400, BOSTON, MA 02218
(617) 414-1768
Mailing address
830 HARRISON AVE, SUITE 1400, BOSTON, MA 02218
(617) 414-1768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1494
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00467449
ASHA CERTIFICATION
MA
Enumeration date
12/15/2006
Last updated
07/08/2007
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