Walsh, Michael R

Walsh, Michael R is an individual health care provider with primary practice located at 301 Fisher St , Biloxi MS 39534-2508. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Walsh, Michael R can be contacted via phone (228) 377-6550.

Contact Information

Primary practice address
301 Fisher St Biloxi MS 39534-2508
Phone: (228) 377-6550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2010040768 Missouri

Profile Details

NPI number 1639194111
LBN Legal business name Walsh, Michael R
Credentials PSYD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jan 17th, 2023 - about 3 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 1639194111 NPPES
Missouri MEDICAID 490004794

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