Provider Demographics
NPI:1114966421
Name:WALSH, MONICA L (PHD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:L
Last Name:WALSH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4284 WILLIAM FLYNN HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-1440
Mailing Address - Country:US
Mailing Address - Phone:412-371-7330
Mailing Address - Fax:412-242-4732
Practice Address - Street 1:4284 WILLIAM FLYNN HWY
Practice Address - Street 2:SUITE 203
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-1439
Practice Address - Country:US
Practice Address - Phone:412-371-7330
Practice Address - Fax:412-242-4732
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008473L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA462790OtherVALUEOPTIONS
PA570915OtherHIGHMARK BC BS