AUDRA WALSH, PHD, LLC
NPI 1073028734
Psychologist - Clinical Child & Adolescent in St Petersburg, FL

Active since December 04, 2017
1039 PARK ST N, ST PETERSBURG, FL 33710(727) 599-3624 Get Directions Write a Review

NPPES record last updated: December 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Audra Walsh, Phd, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDRA WALSH, PHD, LLC (NPI 1073028734) is a healthcare organization registered as a clinical child & adolescent in St Petersburg, Florida and active in the NPI registry since December 2017. The organization lists Audra Walsh, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1073028734
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameAUDRA WALSH, PHD, LLC
Location Address1039 PARK ST NSt Petersburg, FL 33710-4317
Mailing Address1039 Park St NSt Petersburg, FL 33710-4317 · (727) 599-3624
Organization SubpartNo
Authorized OfficialAudra WalshLicensed Psychologist · (727) 599-3624
Enumeration DateDecember 4, 2017
NPI 1073028734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Licenses Licensed in FL · PY9148 Licensed in FL · PY9751
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
1039 PARK ST N, St Petersburg, FL 33710

Other Identifiers 2

Medicaid1477710416FL
Medicaid1205249752FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audra Walsh, Phd, LLC's NPI number?

The NPI number for Audra Walsh, Phd, LLC is 1073028734. It was assigned to this organization in the NPPES registry on December 4, 2017.

Where is Audra Walsh, Phd, LLC located?

Audra Walsh, Phd, LLC is located at 1039 Park St N, St Petersburg, FL 33710. The listed phone number is (727) 599-3624.

What is Audra Walsh, Phd, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Audra Walsh, Phd, LLC was last updated on December 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.