| Dr. Sydney Walsh Pllc | |
|
28345 Beck Rd Ste 305 Wixom MI 48393-4744 | |
| (248) 491-8047 | |
| Not Available |
| Full Name | Dr. Sydney Walsh Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 28345 Beck Rd Ste 305, Wixom, Michigan |
| Authorized Official Name and Position | Sydney A Walsh (PSYCHOLOGIST) |
| Authorized Official Contact | 2488548279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Sydney Walsh Pllc 28345 Beck Rd Ste 305 Wixom MI 48393-4744 Ph: (248) 491-8047 | Dr. Sydney Walsh Pllc 28345 Beck Rd Ste 305 Wixom MI 48393-4744 Ph: (248) 491-8047 |
| NPI Number | 1588102529 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 02/10/2017 |
| Medicare PECOS PAC ID | 8022392992 |
|---|---|
| Medicare Enrollment ID | O20170222000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588102529 | NPI | - | NPPES |
| 1578997078 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301016444 (Michigan) | Primary |
| Provider Name | Sydney A Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578997078 PECOS PAC ID: 0941584270 Enrollment ID: I20170222000369 |
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