DR. KIMBERLY RUTH WALSH PSY.D. NPI 1699750018

NPI Information

NPI: 1699750018
Provider Name: DR. KIMBERLY RUTH WALSH, PSY.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
1452 EAST RIDGELINE DRIVE
SUITE 151
SOUTH OGDEN, UT
ZIP 84405
Phone: (801) 690-0353
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DR. Kimberly Ruth Walsh, PSY.D. is a clinical neuropsychologist in South Ogden, UT. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Kimberly Ruth Walsh, PSY.D. NPI is 1699750018. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1452 EAST RIDGELINE DRIVE
SUITE 151
SOUTH OGDEN, UT
ZIP 84405
Phone: (801) 690-0353
Fax: (801) 479-7020

The enumeration date for this NPI number is 12/8/2005 and was last updated on 7/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	117391-2501	UTAH	No
2	103G00000X	Clinical Neuropsychologist		117391-2501	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R92071	MEDICARE UPIN	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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