Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
Y | 103TC1900X | Counseling Psychologist | PS-008078 | PA |
NPI | 1598721920 |
---|---|
Provider Name | Ms. Teresa J Welch |
First Address | Bellefonte, PA 16823-2803 |
Second Address | Bellefonte, PA 16823-2803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 31/10/2016 |