Provider Demographics
NPI:1497590798
Name:COLOMBANA WALSH, NATALIE I
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:I
Last Name:COLOMBANA WALSH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:I
Other - Last Name:WALSH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1039 COLLEGE AVE APT 1E
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-5770
Mailing Address - Country:US
Mailing Address - Phone:650-452-8994
Mailing Address - Fax:
Practice Address - Street 1:1737 S NAPERVILLE RD STE HINSDALE
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-5894
Practice Address - Country:US
Practice Address - Phone:630-325-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist