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Individual

JOHN ANDREW WALSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3425 EMPIRE STATE DR, CANTON, MI 48188-8201
(812) 878-8880
Mailing address
3425 EMPIRE STATE DR, CANTON, MI 48188-8201
(812) 878-8880

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301019341
MI
103TE1100X
Exercise & Sports Psychologist

Other

Enumeration date
06/26/2024
Last updated
06/26/2024
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