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Contact Information

JOHN A WALSH, PhD
3425 EMPIRE STATE DR
CANTON, MI48188-8201
 Phone: 812-878-8880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOHN A WALSH · (Male)

NPI Number 1801631502
Status Active
Credentials PhD
Entity Individual
Enumeration date 06/26/2024
Last updated 06/26/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 6301019341
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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