Walsh, Angelique M

Walsh, Angelique M is an sole proprietor health care provider with primary practice located at 10850 S Us Highway 1 Ste 2 , Port St Lucie FL 34952-6407. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Walsh, Angelique M can be contacted via phone (772) 475-3350.

Contact Information

Primary practice address
10850 S Us Highway 1 Ste 2 Port St Lucie FL 34952-6407
Phone: (772) 475-3350
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1992963565
LBN Legal business name Walsh, Angelique M
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2008
Last updated Oct 3rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992963565 NPPES
Florida MEDICAID 021528900

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