Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PSO16130 | PA |
NPI | 1144355595 |
---|---|
Provider Name | Dr. James Albert Welsh |
First Address | State College, PA 16804-1012 |
Second Address | State College, PA 16803-1864 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 05/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
225900100 | (05) | MD |
R23079 | (02) | MD |