Provider Demographics
NPI:1962617316
Name:WALSH, MONICA ZUNIGA (MS-CCC)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:ZUNIGA
Last Name:WALSH
Suffix:
Gender:F
Credentials:MS-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 WHITON AVE
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1328
Mailing Address - Country:US
Mailing Address - Phone:781-740-7278
Mailing Address - Fax:
Practice Address - Street 1:65 CORDAGE PARK CIR
Practice Address - Street 2:SUITE 105
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-7322
Practice Address - Country:US
Practice Address - Phone:508-747-4720
Practice Address - Fax:508-830-1078
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2746235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist