Audra Walsh, Phd, Llc

LBN: Audra Walsh, Phd, Llc
Audra Walsh, Phd, Llc is an health care organization with primary practice located at 1039 Park St N , St Petersburg FL 33710-4317. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as the primary health care specialty. Audra Walsh, Phd, Llc can be contacted via phone (727) 599-3624, or through Walsh, Audra via phone (727) 599-3624.

Contact Information

Primary practice address
1039 Park St N St Petersburg FL 33710-4317
Phone: (727) 599-3624
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walsh, Audra PHD
Phone: (727) 599-3624

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY9148 Florida
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY9751 Florida

Profile Details

NPI number 1073028734
LBN Legal business name Audra Walsh, Phd, Llc
DBA Doing business as
Authorized official Walsh, Audra PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2017
Last updated Dec 4th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073028734 NPPES
Florida MEDICAID 1205249752
Florida MEDICAID 1477710416

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