Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PY6223 | FL |
Y | 103T00000X | Psychologist | PY6223 | FL |
NPI | 1003870940 |
---|---|
Provider Name | Dr. Barbara Brewer Welsch |
First Address | Gainesville, FL 32611-7500 |
Second Address | Gainesville, FL 32611-7500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
54595 | BLUE CROSS/BLUE SHIELD (01) | FL |